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Tony Spadaro Profile picture
Tony Spadaro
@TSpadaro91
PGY-4 @UPennEM Interests: toxicology, addiction medicine in the ED, social EM. Pennsylvania enthusiast, avid runner, stubborn cyclist. tweets not medical advice
Feb 28, 2023 • 9 tweets • 5 min read
What can we learn from buprenorphine precipitated withdrawal in the ED/hospital? A 🧵 @AustinKilaru @JMPerroneMD @kit_delgadoMD @m_lowenstein @especially_APT @JACEPOpen @NIDAnews @PennMedicine #emergencymedicine #toxtwitter #1 Check those COWS Scores. 4 out of 13 cases of PW, got bupe for COWS scores of less than 8 (see below). Also important to check COWS scores shortly after getting bupe to make sure they are actually getting better. Great place for ordersets to improve care