Emergency departments (EDs) are grappling with the effects of the opioid overdose crisis and pediatrics are a special population affected by it. Approximately 3.6% of adolescents under 18 years of age misuse opioids annually, and in recent estimates, it is reported that ∼14% of high school seniors have misused prescription opioids. In 2016, over 150,000 adolescents met criteria for an opioid use disorder (OUD) and given the pervasiveness of opioid use among adolescents along with the associated risks, it is imperative emergency physicians are knowledgeable in caring for adolescents with OUD. Additionally, acute opioid overdose in children represents a complex presentation, and requires efficient and evidence-based management as well as a comprehensive understanding of immediate and long-term implications.
Learning Objectives:- Review epidemiology of opioid use disorder and acute overdose in the pediatric patients.Review identification, assessment and diagnosis pediatric patients with opioid use disorder.
- Review management focusing on individualized, patient centered care as well as treatment options and medications for opioid use disorder in the pediatric population.
- Review assessment, diagnosis and management of acute overdose in the pediatric patient.
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