These resources are intended to help emergency department clinicians manage patients with substance-related presentations.

Toolkit for the Management of Opioid Use Disorder in the ED Setting

Prescriber information:

Buprenorphine Quick-Start Guide


Download Buprenorphine Quick-Start Guide

Buprenorphine Reference Guide for ED Providers


Download Buprenorphine Reference Guide for ED Providers

Buprenorphine FAQ




Download Buprenorphine FAQ

Buprenorphine Information for Community Providers


Download Buprenorphine Information for Community Providers

ED templates:

ED Order Set for Opioid Withdrawal/Buprenorphine Initiation


Download ED Order Set for Opioid Withdrawal/Buprenorphine Initiation

Clinical Opioid Withdrawal Scale (COWS)


Download Clinical Opioid Withdrawal Scale (COWS)

Buprenorphine Prescription after ED Initiation


Download Buprenorphine Prescription After ED Initiation

Buprenorphine Prescription for Home Start


Download Buprenorphine Prescription for Home Start

Buprenorphine Prescription for Microdose Start


Download Buprenorphine Prescription for Microdose Start

ED Discharge Summary/Referral to RAAM


Download ED Discharge Summary/Referral to RAAM

Administrative resources:

Application to Add Buprenorphine to ED Formulary


Download Application to Add Buprenorphine to ED Formulary

ED Naloxone Distribution Policy


Download ED Naloxone Distribution Policy

ED Naloxone Distribution Medical Directive


Download ED Naloxone Distribution Medical Directive

ED Naloxone Distribution Record


Download ED Naloxone Distribution Record

Addressing Stigma


Download Addressing Stigma

Patient materials:

Suboxone Treatment: What to Know and Expect


Download Suboxone Treatment: What to Know and Expect

Suboxone Home Start Info


Download Suboxone Home Start Info

Suboxone Microdosing Start Info


Download Suboxone Microdosing Start Info

Naloxone: Five Steps to Save a Life


Download Naloxone: Five Steps to Save a Life

 

This Toolkit was inspired by the CA Bridge program.

Lead authors
Jennifer Wyman MD FCFP DABAM MPH
Larry Nijmeh MD CCFP (EM) FCFP
Elizabeth Shouldice MD MPH CCFP (EM) FCFP

Authors
Ruben Hummelen MD CCFP
Meldon Kahan MD CCFP FRCPC
Michelle Klaiman MD FRCPC DABAM
Helen Manohararaj MScN NP-PHC ENC (C)
Lisa Roth MD CCFP
Amit Shah MD CCFP (EM) FCFP
Anita Srivastava MD MSc CCFP

Reviewers
James Brokenshire MD CCFP (EM)
Calvin Chan MD CCFP
Katie Dunham BSc Hons BScN MN NP-PHC
Jonathan Gravel MD CCFP (EM)
Nour Khatib MD CCFP (EM)
Kate Lazier MD CCFP (EM) FCFP
James McGorman MD CCFP (EM)
Hasan Sheikh MD CCFP (EM)
Max Zworth MD PGY-1 (EM)