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LOUD in the ED Action Period 1

Date: October 8, 2020
Filed under: Substance Use, LOUD in the ED,

The first Action Period for LOUD in the ED kicked off with a 3.5 hour learning session on October 6, 2020! This page includes presentations, slides and activities specific to Action Period 1. Click here to return to the main resource page.

Learning Session 1 Recordings & Presentation Slides

PPO Examples

Interior Health Buprenorphine-Naloxone Initiation
*PDF – Print Version*
*PDF-Fillable Version*
Sample clinical order set for Buprenorphine-Naloxone provided by Interior Health Authority.

Island Health Buprenorphine-Naloxone (Suboxone®) Induction Orders*PDF*
Sample clinical order set for Buprenorphine-Naloxone provided by Island Health Authority.


Patient Information: ER Suboxone Self Start Instructions *PDF*
Two-page document from Island Health Authority outlining patient instructions for dosing up to eight (8) 2mg Suboxone tablets dispensed from the ER.

Take Home Suboxone® (buprenorphine-naloxone) *Doc*
Document from Fraser Health Authority outlining patient steps for taking Suboxone®, tracking their own withdrawal, and OAT clinic information.

Buprenorphine use in the Emergency Department (BUPE) Tool *Link*
Bedside tool for using buprenorphine. Developed by the American College of Emergency Physicians and available as a phone app. NOTE: This is an American resource that uses induction protocols and COWS initiation that deviate from recommended practice in BC.

ED Initiated Buprenorphine & Referral to Treatment *PDF*
A brief guide for ED Practitioners from the Yale School of Medicine.

Internet Book of Critical Care: Buprenorphine & Opioid Use Disorder *Link*
Online textbook section by Josh Farkas, associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.

Management of Opioid Use Disorder in the Emergency Department *PDF*
White paper from the American Academy of Emergency Medicine that aims to provide evidence-based recommendations for providers in acute care setting managing patients who use opioids.

The California Bridge Model *Link*
This website is full of information outlining the California Bridge program which aims to improve care for people with substance use disorders.