- Opioid Use Disorder Treatment
- Forensic Toxicology and Drug Analysis
- Veterinary Pharmacology and Anesthesia
- HIV, Drug Use, Sexual Risk
- Cardiac Arrest and Resuscitation
- Pain Management and Opioid Use
- Religious Tourism and Spaces
- Pharmaceutical Practices and Patient Outcomes
- Prenatal Substance Exposure Effects
- Emergency and Acute Care Studies
- Anesthesia and Sedative Agents
- Poisoning and overdose treatments
- Suicide and Self-Harm Studies
- Substance Abuse Treatment and Outcomes
Boston Medical Center
2022-2024
Boston University
2022
Novel adulterants and synthetic substances are rapidly infiltrating the US drug supply causing new clinical harms. There is an urgent need for responsive education training to address these evolving harms mitigate risks. Since 2020, xylazine, a veterinary tranquilizer, has become increasingly common in illicit opioid supply, especially alongside fentanyl. Training technical assistance (TTA) programs employing adaptive model can quickly disseminate emerging information provide tools respond...
Exposure to xylazine has been associated with wounds distinct from typical injection-related skin and soft tissue infections. We sought understand drug use wound care practices, treatment experiences of people who drugs (PWUD) in a high-prevalence area adulteration. In August 2023, we surveyed adult PWUD reporting at least one past-year use-related across three Massachusetts syringe service programs. Using representative illustration, participants indicated if they had experienced the past...
Objectives As xylazine increasingly adulterates the unregulated opioid supply, people who use drugs (PWUD) are more likely to experience sequalae from xylazine. Given exposure is consistently associated with development of wounds which can heal medically directed wound care, we sought understand level preparedness and ability front-line addiction professionals interact PWUD provide care treatment. Methods We administered a 26-item online survey assessing participant organizational...
People who use drugs (PWUD) face stigmatizing treatment and substandard care during all stages of their health journey, including in the prehospital setting by Emergency Medical Services (EMS) providers. Drawing on professional lived experience authors, we have developed a training with an intended audience Technicians (EMTs) Paramedics Massachusetts that will orient them to harm reduction philosophy. The is delivered online through asynchronous platform housed at Boston University School...
The National Governors Association (NGA) Center for Best Practices, in partnership with the of State Emergency Medical Services Officials (NASEMSO), supported five states-Kentucky, Ohio, South Carolina, Vermont, and Wisconsin-in developing implementing action plans to expand role EMS help prevent overdose events support individuals substance use disorders. States undertook initiatives such as pilot programs EMS-initiated buprenorphine, development statewide naloxone leave-behind programs,...