Emergency Department Presentations of Substance Use | Craig Smollin, MD

Learners will have an understanding of an organized approach to the acute management of poisoned patients with an emphasis on supportive care measures, identification of toxcidromes and the use of selected antidotes.  


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PHYSICIANS: The California Society of Addiction Medicine (CSAM) is accredited by the Institute for Medical Quality/California Medical Association to provide continuing medical education for physicians.  CSAM takes responsibility for the content, quality and scientific integrity of this CME activity.

CSAM designates this live educational activity for a maximum of 1 AMA PRA Category 1 Credit™ Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical Education.

This course has been approved by the American Board of Addiction Medicine (ABAM). Physicians enrolled in the ABAM Maintenance of Certification (MOC) Program can apply a maximum of 1 AMA/PRA Category 1 Credits™ for completing the Review Course.

Continuing education credit is also available for nurses, psychologists, pharmacists, physician assistants, therapists, and drug abuse counselors. 

Target Audience

  • Addiction medicine specialists who want an overview of the latest developments in the field and their relevance to clinical practice
  • Primary care clinicians who want to get a better understanding of addiction and manage patients with addictions in their practice
  • Public health officials who want an understanding of the current state of addiction treatment
  • Non-physicians who are involved in the treatment of addiction

Learning Objectives

As a result of participating in this lecture learners should have a working knowledge of the following topics, essential to competency in addiction medicine and identify areas where more study may be needed:

  1. Review the  statistics on ER presentations of addictive disorders
  2. Review highlights of ER screening and evaluation for addictive disorders
  3. Review the concept of toxidromes and how they inform treatment.
  4. Present clinical case vignettes weighted towards the more common or more serious presentations of addictive disorders
  5. Review rational approaches to diagnostic dilemmas in acute care patients
  6. Review the limitations of toxicology testing in the acute care setting.
Course summary
Available credit: 
  • 1.00 AMA Category 1
  • 1.00 Attendance
Course opens: 
Course expires: 

Craig Smollin, MD

Dr. Smollin attended medical school at the Albert Einstein College of Medicine and subsequently completed his residency in Emergency Medicine at NYU/Bellevue hopsital in New York City.  Following residency he completed a fellowship in medical toxicology at UCSF.  After fellowhsip he joined the Emergency Medcine faculty at San Francisco General Hospital where he has been practiciing clinically for over 10 years.  His current roles include Fellowship Director for the medical toxicology fellowship program at UCSF and Co-Medical Director of the San Francisco Division of the California Poison Control System.  He is an Associate Professor in the Department of Emergency Medciine at UCSF.   

Dr. Smollin has no relevant financial relationships to disclose




Available Credit

  • 1.00 AMA Category 1
  • 1.00 Attendance


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