ACAAM Fellow Lightning Round Presentations-2024 ACAAM Fellow Lightning Round Presentations

Video Transcription

Video Summary

The transcript covers ACAM’s 2024 Lightning Round, featuring 19 short presentations on addiction medicine research, quality improvement, and clinical cases. Topics included racial disparities in substance use treatment, false-positive PEth testing after blood transfusion, urine metabolite testing for alcohol use in patients with opioid use disorder, gambling disorder screening, and tianeptine (“gas station heroin”) misuse. Other talks highlighted alcohol withdrawal management with phenobarbital, PCP-induced catatonia, hepatitis B screening and vaccination in a rapid-access buprenorphine clinic, naloxone co-prescribing rates, and advanced buprenorphine initiation strategies, including ketamine-assisted induction and transition from methadone to long-acting injectable buprenorphine.<br /><br />Several presentations focused on complex inpatient addiction scenarios: buprenorphine induction in acute hepatitis A and hepatic impairment, fentanyl and butalbital withdrawal management, and modified low-dose buprenorphine protocols using methadone tapers. Additional talks explored treating alcohol use disorder with buprenorphine, managing stimulant- and alcohol-related heart failure through a cardiology-addiction co-management clinic, and the relationship between traumatic brain injury and subsequent overdose risk. One project examined starting hepatitis C treatment during hospitalization through an addiction consult-linked bridge program.<br /><br />The final presentation reviewed capacity assessment in hospitalized patients, emphasizing the difference between capacity and competence and the four core elements of capacity: communicating a choice, understanding, appreciating consequences, and reasoning. Overall, the round showcased practical innovations and emerging evidence to improve care for patients with substance use disorders.

Keywords

addiction medicine

2024 Lightning Round

substance use disorder

racial disparities

PEth testing

blood transfusion

alcohol use disorder

opioid use disorder

gambling disorder

tianeptine misuse

phenobarbital

buprenorphine induction

naloxone co-prescribing

hepatitis C treatment

capacity assessment