Evidence map›Paper›PMID 40372976›Full record

ReviewDeutsches Arzteblatt international2025

Cannabis-Associated Emergencies in the Emergency Department.

David Eichhorn, Andreas Schaper, Stefanie Iwersen-Bergmann, Benjamin Ondruschka, Sabrina Weber-Papen, Michael Bernhard

Abstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

David EichhornEmergency Department, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany; GIZ-Nord Poisons Centre, Göttingen University Hospital Faculty of Medicine, Göttingen, Germany; Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Medical advisor to the medical director, University Hospital Düsseldorf, Germany.
Andreas Schaper
Stefanie Iwersen-Bergmann
Benjamin Ondruschka
Sabrina Weber-Papen
Michael Bernhard

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNow that the Cannabis Act legalizing the use of cannabis has come into effect in Germany, the frequency of cannabis use in Germany may rise, and with it the number of cannabisrelated visits to emergency departments.

methodsIn this narrative review, we identify and evaluate the observed trends in case numbers after cannabis legalization in other countries, the common reasons for emergency department visits, and the options for treatment. Data on trends in cannabis-related emergency contacts in Germany were provided by the Poison Control Center North and are evaluated descriptively.

resultsThe prevalence of cannabis use in Europe is estimated at 8%. In Canada, after legalization, cannabis use among the total population aged 15 years and over rose from 15% in 2017 to 25% in 2021, and hospital admissions doubled from 15/100 000 in 2017 to 32/100 000 in 2022. Acute intoxication is the most common reason for hospital admission and is often accompanied by acute anxiety and panic attacks. The risk of developing psychosis increases with THC content and frequency of use. Cannabinoid hyperemesis syndrome manifests itself with abdominal pain and severe, cyclical vomiting. The most important acute measure is to replace the often massive fluid loss. Benzodiazepines and antipsychotic drugs can be given as symptomatic treatment.

conclusionThe legalization of cannabis use can be expected to lead to an increase in cannabis-related emergencies in Germany as well. As the clinical manifestations are often nonspecific, the targeted investigation of possible cannabis use is indicated so that the affected patients can be given appropriate treatment and assistance.

Indexed as

CannabisEmergency Service, HospitalMarijuana AbuseAdolescentAdultFemaleGermanyHumansMalePrevalenceYoung Adult

Identifiers

PMID40372976
PMCPMC12599188

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.