How do you handle patients who present with substance abuse or overdose in the ER?

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Sample interview questions: How do you handle patients who present with substance abuse or overdose in the ER?

Sample answer:

Assessment and Stabilization:

  • Assess the patient’s vital signs, mental status, and airway, breathing, and circulation.
  • Administer oxygen as needed, establish intravenous access, and perform a thorough physical examination.
  • Screen for co-existing medical conditions, such as alcohol withdrawal or traumatic injuries.

Substance Identification and Management:

  • Obtain a detailed history of substance use, including type, amount, and time of ingestion.
  • Order laboratory tests, such as urine drug screens, blood alcohol levels, and arterial blood gases.
  • Administer specific antidotes as indicated, such as naloxone for opioid overdose or flumazenil for benzodiazepine overdose.

Psychological Support and Safety:

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