Discharge is a high-risk time for opioid patients - what clinicians can do
Patients with opioid use disorder are at high risk of overdose after hospital discharge. Dr. Tom Robey shares strategies including bridge care, follow-up, and naloxone.
Resources
Resources
Discharge is a high-risk time for opioid patients - what clinicians can do
Prescriber, Nurse, Support staff, Administrator
Risks of the unregulated drug supply
Patient, Nurse, Support staff
Risks of the unregulated drug supply
Patient-facing information about fentanyl, xylazine (tranq), counterfeit pills, overdose risk, and harm reduction.
Self-compassion, recovery, and positive change
Patient, Nurse, Support staff
Self-compassion, recovery, and positive change
A patient-facing resource on self-compassion and stigma reduction for people with substance use disorder (SUD) or opioid use disorder (OUD).
MOUD in the ED
Prescriber, Administrator, Nurse, Support staff
MOUD in the ED
Guidance for providing medications for opioid use disorder (MOUD), sometimes called MAT, in the emergency department, including buprenorphine and methadone.
How to treat precipitated withdrawal - buprenorphine doses and adjunct medications
Prescriber, Nurse
How to treat precipitated withdrawal - buprenorphine doses and adjunct medications
Precipitated withdrawal is not a buprenorphine failure - it's a signal to adjust doses and provide personalized care. Dr. Tom Robey explains the science behind it and practical dosing strategies during induction.
When should clinicians consider methadone for opioid use disorder?
Prescriber, Nurse
When should clinicians consider methadone for opioid use disorder?
While methadone often carries stigma, it can be the best treatment option for certain patients. Dr. Tom Robey explains when it may be the right MAT option and how it differs from buprenorphine.
Why you might need higher doses of buprenorphine - and how to use them safely
Prescriber, Nurse
Why you might need higher doses of buprenorphine - and how to use them safely
In today's fentanyl-dominated drug supply, historical buprenorphine doses may not be enough. Dr. Tom Robey explains why higher doses can be safe and provides guidance on high-dose buprenorphine.
What we believe
Prescriber, Administrator, Nurse
What we believe
ScalaNW's approach to compassionate, evidence-based care for people with opioid use disorder (OUD), including MOUD, harm reduction, and stigma reduction.
Buprenorphine in the ED: How to treat opioid use disorder
Prescriber, Nurse
Buprenorphine in the ED: How to treat opioid use disorder
Dr. Tom Robey, Emergency and Street Medicine Physician, introduces buprenorphine and explains why it matters and how to start it safely in the emergency department as MOUD (sometimes called MAT).
Opioid withdrawal in pregnancy in acute care settings
Prescriber, Nurse, Support staff
Opioid withdrawal in pregnancy in acute care settings
Managing withdrawal in pregnant patients with opioid use disorder (OUD).
