Citation

Brousse G, Geneste-Saelens J, Cabe J, Cottencin O. Presse Med. (1983) 2018; 47(7-8 Pt 1): 667-676.

Vernacular Title

Alcool et urgences.

Affiliation

CHRU de Lille, université de Lille 2, 59000 Lille, France.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.lpm.2018.06.001

PMID

30075948

Abstract

Thirty percent of emergency department admissions are related to an alcohol misuse. Eighty percent of acute intoxications admitted in emergency departments concern patients with alcohol addiction. Care protocols validated in all of emergency departments are necessary for prevention of alcohol withdrawal syndrome. Risky uses require ultra-brief interventions, situations of abuse (light use disorders) require brief interventions and situations of dependence (moderate to severe use disorders) require motivational interviews to promote the emergence of a process of change. The key word for alcohol intervention in emergencies is: empathy. Search addictive comorbidities (tobacco and cannabis) and psychiatric comorbidities (depression and suicidal risk) must be systematic. The coordination between emergency departments and addictology departments is essential. In the emergency department, the goal is to optimise patient care path for all addictive behaviors.

Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Language: fr