• Ann Emerg Med · Jul 2021

    Legal Authority for Emergency Medical Services to Increase Access to Buprenorphine Treatment for Opioid Use Disorder.

    • Corey S Davis, Derek H Carr, Melody J Glenn, and Elizabeth A Samuels.
    • Harm Reduction Legal Project, Network for Public Health Law, Los Angeles, CA. Electronic address: cdavis@networkforphl.org.
    • Ann Emerg Med. 2021 Jul 1; 78 (1): 102-108.

    AbstractTreatment with buprenorphine significantly reduces both all-cause and overdose mortality among individuals with opioid use disorder. Offering buprenorphine treatment to individuals who experience a nonfatal opioid overdose represents an opportunity to reduce opioid overdose fatalities. Although some emergency departments (EDs) initiate buprenorphine treatment, many individuals who experience an overdose either refuse transport to the ED or are transported to an ED that does not offer buprenorphine. Emergency medical services (EMS) professionals can help address this treatment gap. In this Concepts article, we describe the federal legal landscape that governs the ability of EMS professionals to administer buprenorphine treatment, and discuss state and local regulatory considerations relevant to this promising and emerging practice.Copyright © 2021 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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