PPT-Opioid Intoxication Kevin Smith

Objectives Brief history of Opioids Molecular structure Physiologic effects Intoxication Treatment Complications Intro History of Opium To understand opioids we must start at the source opium. Kenneth L. Kirsh. , . Ph.D.. Clinical Research Educator and Research Scientist. Millennium . Laboratories. Millennium Research Institute. San Diego, CA. The Opioid Pendulum. Opiophobia. Balance of Addiction Medicine and Pain Management Principles. M. . Nadeem. . Mazhar. MBBS, . MRCPsych. , FRCPC, DABPN. Objectives. Review issues regarding “medical clearence” in ED. Assess common medical causes of agitation. Evaluate assessment substance related emergencies. Alexander . Chyorny. , MD. alexander.chyorny@hhs.sccgov.org. November 2013. Neurotransmitters-101. Dopamine pathway – learning, pleasure. Serotonin pathway – regulates mood. Opioid. pathway – . Alexander . Chyorny. , MD. November 2013. Pharmacological Treatment of Addiction. Neurotransmitters-101. Dopamine pathway – learning, pleasure. Serotonin pathway – regulates mood. Opioid. pathway – . Intoxication - General. Applies to . alcohol or drugs. Rarely succeeds . as a defence. May succeed if it . negates MR. 2 things to consider:. Was the intoxication . voluntary or involuntary?. Was the crime one of . . Paul Coelho. , . MD. David . Tauben. , MD. Melissa Weimer, DO, MCR. Objectives. Understand how to calculate morphine equivalents per day. Understand the steps necessary to plan a successful opioid taper. Bob Sammons, M.D., Ph.D.. Mesa Behavioral Medicine Clinic. TMS Solutions. Conflict of interest. None.      Dr. Sammons received a bachelors and master’s degree from Auburn University, a PhD in clinical psychology from the University of North Carolina at Greensboro, and a medical degree from the University of North Carolina at Chapel Hill.  He did a residency in psychiatry at the University of Virginia as well as a forensic fellowship.  While serving in the United States Air Force as a squad commander and captain, he was selected as one of 5 psychologist to establish the opiate treatment phase of the drug treatment program for the Department of Air Force in 1972.  For this he receive the  Meritorious Service Medal.  He has practiced adult psychiatry in Grand Junction for 28 years.  He is 1 of 2 physicians in town that have received specialist training and a special DEA number that allows him to prescribe Suboxone treatment for opiate dependency.. . Opiates and opioid drugs. Why an EPIDEMIC?. Epidemic:. . The occurrence of more cases of a disease than would be expected in a community or region during a given time period. . Addiction & Medication Assisted Treatment. Andrew Kolodny, M.D.. Chief Medical Officer, Phoenix House Foundation Inc.. Executive Director, Physicians for Responsible Opioid Prescribing. Senior Scientist, Heller School for Social Policy and Management, . How it Happened. . Andrew Kolodny, M.D.. .. Executive Director, Physicians for Responsible Opioid Prescribing. Co-Director, Opioid Policy Research Collaborative, . Heller School for Social Policy and Management, Brandeis University. Kevin Hart's superstar stamp of approval finds a group of fast-rising comedians in . Kevin Hart Presents: The Next Level. . The series spotlights seven comedians as they hit a coveted stand-up milestone: the televised half-hour special. Each episode spotlights a single performer, opening on an interview with Hart that leads into a special from the featured comedian.. Intoxication. Person has chosen to take alcohol, . drugs or other substances e.g. glue-sniffing. . General rule - if a person is voluntarily intoxicated and commits a crime there is no defence. . . Intoxication is relevant as to whether or not the defendant has the required mens rea for the offence. . Ernest J Dole, PharmD, . PhC. , FASHP, BCPS. Clinical Pharmacist & . Asso. . Clinical Prof.. University of New Mexico Hospitals & College of Pharmacy. Albuquerque, NM. Learning Objectives. At the end of this presentation, utilizing a case of an older patient on chronic opioid therapy (COT) with the comorbidity of geriatric opioid abuse (GOA) the participant will be able to. Kevin Durant is one of the best NBA players ever.. Early life . Basketball career . Life off the court. Early Life . . Kevin Durant was born on September 29, 1988 in Suitland, Maryland.. At Age 11 he played basketball for the Prince George Jaguars..