Abstract
Out-of-hospital initiation of buprenorphine for opioid withdrawal by paramedics is a promising harm reduction strategy to treat and engage patients at high risk for opioid-related mortality. Patients often decline transport to the hospital when experiencing symptoms of acute opioid withdrawal. Buprenorphine treats the noxious symptoms of opioid withdrawal and is safer than self-treatment by full-agonist opioids (fentanyl, heroin, etc.). The utility of Emergency Medical Service initiated buprenorphine (EMSBUP) for opioid withdrawal requires further investigation.
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