DEA - Addiction Medicine Essentials Course- AOA/AOAAM-Management of Withdrawal-Alcohol, Benzodiazepines and Opioids

Video Transcription

Video Summary

In this video, the speaker, Tony Decker, discusses the management of withdrawal from alcohol, benzodiazepines, and opioids. He highlights the importance of supervised detoxification to prevent life-threatening complications. Decker explains the three phases of detoxification: evaluation, stabilization, and fostering the patient's entry into treatment. He also provides a historical perspective on the treatment of withdrawal, including the use of detox tanks and shaming interventions. Decker discusses the use of different medications, such as alcohol for alcohol withdrawal, and benzodiazepines like barbiturates for alcohol and benzodiazepine withdrawal. He mentions the American Medical Association's recognition of alcoholism as a treatable disease. Decker also discusses the ASAM patient placement criteria for detoxification placement, including ambulatory detoxification, clinically managed residential detoxification, medically monitored inpatient detoxification, and intensive care inpatient detoxification. He emphasizes the importance of evaluating patients for medical complications that may complicate withdrawal and the need for ongoing support and intervention in maintaining recovery. Decker also explains the Clinical Opioid Withdrawal Scale and the use of buprenorphine for opioid withdrawal. Overall, the video provides an overview of the management of withdrawal from alcohol, benzodiazepines, and opioids, highlighting the importance of supervised detoxification and individualized treatment approaches. No credits are provided in the video.

Keywords

withdrawal management

alcohol withdrawal

benzodiazepine withdrawal

opioid withdrawal

supervised detoxification

evaluation phase

stabilization phase

treatment entry

detoxification medications

ASAM patient placement criteria