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from Subsection 4U - Clinical – Substance Abuse
Published online by Cambridge University Press: 27 June 2025
Alcohol causes more harm than any other substance. Despite this, a large majority of patients with alcohol use disorder go untreated. As emergency medicine providers, we are uniquely positioned to bridge this treatment gap. As such, the observation unit (OU) can be an effective site to manage the consequences of alcohol use disorder (AUD) and initiate treatment. This initiation in the emergency department OU has shown to be more effective than a simple referral. OU management may involve OU pathways for the treatment of mild alcohol withdrawal and alcohol intoxication. The OU allows time for initiation of treatment for the AUD including medications (e.g. naltrexone or acamprosate).
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