Clinical ultrasonography in patients who inject drugs (the CUPID protocol): an illustrated case series

Abstract In 2017, there were ≈47,600 opioid overdose‐related deaths in the United States. US emergency department (ED) visits for suspected opioid overdose increased by 30% between July 2016 and September 2017.2 The current US opioid epidemic makes it critical for emergency physicians to be aware of...

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Main Authors: Stephanie C. DeMasi, Laura E. Goyack, Erin F. Shufflebarger, Erik P. Hess, Rachel M. Skains, Maxwell A. Thompson, Samuel Luke Burleson, John P. Gullett, David C. Pigott
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Journal of the American College of Emergency Physicians Open
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Online Access:https://doi.org/10.1002/emp2.12028
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author Stephanie C. DeMasi
Laura E. Goyack
Erin F. Shufflebarger
Erik P. Hess
Rachel M. Skains
Maxwell A. Thompson
Samuel Luke Burleson
John P. Gullett
David C. Pigott
author_facet Stephanie C. DeMasi
Laura E. Goyack
Erin F. Shufflebarger
Erik P. Hess
Rachel M. Skains
Maxwell A. Thompson
Samuel Luke Burleson
John P. Gullett
David C. Pigott
author_sort Stephanie C. DeMasi
collection DOAJ
description Abstract In 2017, there were ≈47,600 opioid overdose‐related deaths in the United States. US emergency department (ED) visits for suspected opioid overdose increased by 30% between July 2016 and September 2017.2 The current US opioid epidemic makes it critical for emergency physicians to be aware of common and uncommon infectious and non‐infectious complications of injection drug use. Point‐of‐care ultrasound has become a widely available, non‐invasive diagnostic tool in EDs across the United States and worldwide. The increasing population of injection drug use patients is at risk for serious morbidity and mortality from an array of disease states amenable to ultrasound‐based diagnosis. We propose a protocol for clinical ultrasonography in patients who inject drugs (the CUPID protocol), a focused, 3‐system point‐of‐care ultrasound approach emphasizing cardiovascular, thoracic, and musculoskeletal imaging. The protocol is a screening tool, designed to detect high risk infectious and noninfectious complications of injection drug use.
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series Journal of the American College of Emergency Physicians Open
spelling doaj-art-38ea337bf8094750acd6774de759bac32025-08-20T02:00:37ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522020-06-011324425110.1002/emp2.12028Clinical ultrasonography in patients who inject drugs (the CUPID protocol): an illustrated case seriesStephanie C. DeMasi0Laura E. Goyack1Erin F. Shufflebarger2Erik P. Hess3Rachel M. Skains4Maxwell A. Thompson5Samuel Luke Burleson6John P. Gullett7David C. Pigott8Department of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaDepartment of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaDepartment of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaDepartment of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaDepartment of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaDepartment of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaDepartment of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaDepartment of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaDepartment of Emergency Medicine University of Alabama at Birmingham Birmingham AlabamaAbstract In 2017, there were ≈47,600 opioid overdose‐related deaths in the United States. US emergency department (ED) visits for suspected opioid overdose increased by 30% between July 2016 and September 2017.2 The current US opioid epidemic makes it critical for emergency physicians to be aware of common and uncommon infectious and non‐infectious complications of injection drug use. Point‐of‐care ultrasound has become a widely available, non‐invasive diagnostic tool in EDs across the United States and worldwide. The increasing population of injection drug use patients is at risk for serious morbidity and mortality from an array of disease states amenable to ultrasound‐based diagnosis. We propose a protocol for clinical ultrasonography in patients who inject drugs (the CUPID protocol), a focused, 3‐system point‐of‐care ultrasound approach emphasizing cardiovascular, thoracic, and musculoskeletal imaging. The protocol is a screening tool, designed to detect high risk infectious and noninfectious complications of injection drug use.https://doi.org/10.1002/emp2.12028emergency medicineinfectionopioid‐related disorderssubstance abuse—intravenousultrasonography
spellingShingle Stephanie C. DeMasi
Laura E. Goyack
Erin F. Shufflebarger
Erik P. Hess
Rachel M. Skains
Maxwell A. Thompson
Samuel Luke Burleson
John P. Gullett
David C. Pigott
Clinical ultrasonography in patients who inject drugs (the CUPID protocol): an illustrated case series
Journal of the American College of Emergency Physicians Open
emergency medicine
infection
opioid‐related disorders
substance abuse—intravenous
ultrasonography
title Clinical ultrasonography in patients who inject drugs (the CUPID protocol): an illustrated case series
title_full Clinical ultrasonography in patients who inject drugs (the CUPID protocol): an illustrated case series
title_fullStr Clinical ultrasonography in patients who inject drugs (the CUPID protocol): an illustrated case series
title_full_unstemmed Clinical ultrasonography in patients who inject drugs (the CUPID protocol): an illustrated case series
title_short Clinical ultrasonography in patients who inject drugs (the CUPID protocol): an illustrated case series
title_sort clinical ultrasonography in patients who inject drugs the cupid protocol an illustrated case series
topic emergency medicine
infection
opioid‐related disorders
substance abuse—intravenous
ultrasonography
url https://doi.org/10.1002/emp2.12028
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