Indications and preference considerations for using medical Cannabis in an emergency department: A National Survey

Due to its Schedule I drug designation, medical cannabis continues to remain a controversial topic [1] despite an increasing number of US states legalizing it [2] and the growing acceptance of it socially [3] and even within some physicians in the medical community [4]. Because of federal laws, stud...

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Bibliographic Details
Published in:The American journal of emergency medicine 2021-07, Vol.45, p.513-515
Main Authors: Takakuwa, Kevin M., Schears, Raquel M.
Format: Article
Language:English
Subjects:
Cannabis
Chemotherapy
Chronic pain
Clinical trials
Demographics
Emergency medical care
Emergency medical services
Gender
Internal medicine
Medical marijuana
Medicine
Mood
Multiple sclerosis
Nausea
Pain
Patients
Pediatrics
Physicians
Spasticity
Vomiting
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Summary:Due to its Schedule I drug designation, medical cannabis continues to remain a controversial topic [1] despite an increasing number of US states legalizing it [2] and the growing acceptance of it socially [3] and even within some physicians in the medical community [4]. Because of federal laws, studying cannabis in randomized controlled trials remains a monumental challenge [5]. [...]the objective of this study was to see what indications EM physicians would be willing to use cannabis in an ED setting and whether they would use it in pediatric or pregnant patients. Demographic N %⁎ Gender Male Female 309 228 57.5 42.5 Age (mean years ± SD years) 39.6 ± 10.9 Race White Asian Black/African American Chicano/Latino Mixed Other 389 55 33 25 19 13 72.8 10.3 6.2 4.7 3.6 2.4 Medical degree type MD DO 423 115 78.6 21.4 Primary medical specialty Emergency medicine Family medicine Internal medicine 517 12 5 96.8 2.2 0.9 Years of practice (mean ± SD) 11.1 ± 10.3 Practice setting Academic Private Military Retired Other 302 198 18 4 3 57.5 37.7 3.4 0.8 0.6 State cannabis work law Legal state (medical or adult use) Illegal state 413 117 77.9 22.1 Table 1 Demographic characteristics of study participants Indications Yes No Unsure/Don't know N %⁎ N % N % Acute pain1 132 (24) Chronic pain2 302 (56) Nausea/vomiting3 231 (43) Headache4 103 (19) Seizure5 146 (27) Spasticity6 107 (20) Sleep/apnea7 42 (8) Mood stabilizer8 93 (17) None9 120 (22) Pregnancy10 26 (4.8) 285 (52.9) 228 (42.3) Pediatric patients (
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2020.07.005