Legal Authority for Emergency Medical Services to Increase Access to Buprenorphine Treatment for Opioid Use Disorder.

TitleLegal Authority for Emergency Medical Services to Increase Access to Buprenorphine Treatment for Opioid Use Disorder.
Publication TypeJournal Article
Year of Publication2021
AuthorsDavis CS, Carr DH, Glenn MJ, Samuels EA
JournalAnn Emerg Med
Volume78
Issue1
Pagination102-108
Date Published2021 07
ISSN Number1097-6760
KeywordsBuprenorphine, Drug Overdose, Emergency Medical Services, Humans, Narcotic Antagonists, Opiate Substitution Treatment, Opioid-Related Disorders, United States
Abstract

Treatment with buprenorphine significantly reduces both all-cause and overdose mortality among individuals with opioid use disorder. Offering buprenorphine treatment to individuals who experience a nonfatal opioid overdose represents an opportunity to reduce opioid overdose fatalities. Although some emergency departments (EDs) initiate buprenorphine treatment, many individuals who experience an overdose either refuse transport to the ED or are transported to an ED that does not offer buprenorphine. Emergency medical services (EMS) professionals can help address this treatment gap. In this Concepts article, we describe the federal legal landscape that governs the ability of EMS professionals to administer buprenorphine treatment, and discuss state and local regulatory considerations relevant to this promising and emerging practice.

DOI10.1016/j.annemergmed.2021.01.017
Alternate JournalAnn Emerg Med
PubMed ID33781607
PubMed Central IDPMC8238848
Grant ListU54 GM115677 / GM / NIGMS NIH HHS / United States
Faculty Reference: 
Melody J. Glenn, MD
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