I’d like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience.

You can reach him at [email protected]

We must remember, when working up these patients with addiction, they can have poor health baseline anyway, so they are at higher risk for something emergent to be going on

Dr. Berry talks about this approach to opiate OD

We have a small window between the ED and definitive care to help addicted patients move forward with treatment – a warm handoff to a treatment center or primary care that can monitor recovery is key

We have specific rules for most emergencies but often psychiatry is not on a set system

Holds may not always accomplish what we hope they will, it will not force someone to change

But there is certainly a role for the patient who is genuinely suicidal

We talk about good structure of evaluation and treatment of the psychiatric emergencies

David talks about some patients he has been able to help with addiction recovery from his experience

Don’t underestimate the difference we can and do make with patients just because we don’t always see the result

Dr. Berry talks about the message he has for clinicians:

We deal with a lot of emergencies, people actively dying, so when we hear a psych complaint or substance abuse complaint, we tend to mentally shuffle them into a lower priority. We need to remember to have empathy and take their complaints seriously, slow down with these patients

We talk about the balance between empathy and detachment and burnout

David talks about some methods of humanizing the experience for your patients and getting them to open up more

We talk about anchor bias and how to protect from it

David talks about conformation bias and how it relates in piloting an aircraft and emergency medicine

A key question to ask before you leave a patient room is “Do you have any questions?” – This can be hard to ask because we often want to move on but it’s so important to the patient

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Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care.

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics
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