Opioid Solutions Paul Kivela, MD,MBA, FACEP President, ACEP

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Presentation transcript:

Opioid Solutions Paul Kivela, MD,MBA, FACEP President, ACEP Partner, Napa Valley Emergency Medical Group

Potential or Perceived Conflicts I have down joint injections in my office at Elan Medical I use many of these procedures in my emergency department President, ACEP

LAC2018 Solutions Summit May 20-23, 2018

Opiate Solutions Alternatives Opiate abuse Prevention Overdose Opiate Abuse Treatment

Short prescriptions of opiates

Opiate Free Emergency Departments

Alternatives to Opiates Medications Alternative procedures

Medications IV Tylenol IV ketorolac

Lidocaine for kidney stones and headaches

Propofol for headaches

Ketamine for chronic pain

Nitrous Oxide

Nerve blocks Joint Peripheral Nerve Regional Dental

Dry Needles

Back Pain and neck pain manipulations Knee to opposite shoulder Hamstring Locked facet Osteopathic and Chiropractic maneuvers

Opioid Advocacy Prescription Laws PDMP laws First responder

Opioid Prescriptions Limits on days? Limits on morphine equivalents

Narcan

Narcan Prescriptions

Suboxone & Detox services