Psychoactive Substance Use Disorders Among Seriously Injured Trauma Center Patients

Abstract

A high percentage of seriously injured trauma center patients are at risk of having current PSUDs. Patients with positive toxicology screening test results and/or positive screening questionnaire responses should be referred for formal evaluation and treatment.

Risk perception and impulsivity: Association with risky behaviors and substance abuse disorders

“…The interviewed population is representative of the entire trauma population at our trauma center (Soderstrom et al, 1997a).…”

“…and injury severity score (ISS) were obtained from the trauma registry. Admission BACs were obtained from the Shock Trauma Center's toxicology database, which is housed and maintained at the National Study Center for Trauma and Emergency Medical Systems at the University of Maryland at Baltimore (Soderstrom et al, 1997a(Soderstrom et al, , 2001b. According to clinical protocol, BAC is routinely determined upon admission to the trauma center; hence, BAC results are available for over 95% of admitted patients (Dischinger et al, 2001).…”

Predictors of problem drinking among older adolescent emergency department patients

“…Furthermore, ED medical personnel rarely conduct routine blood alcohol testing and, when it is conducted, it does not perform well as a sole predictor of serious alcohol problems (10).…”

Pain management in the opioid-dependent patient

“…The patient who is dependent on illicit opioids is more susceptible to trauma and infections, which, not infrequently, require hospitalization [33]. Acute pain may require vigorous treatment with higher than usual doses of opioids, because of tolerance and increased pain sensitivity [34].…”