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

2. 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

3. LAC2018 Solutions Summit
May 20-23, 2018

4. Opiate Solutions Alternatives Opiate abuse Prevention Overdose
Opiate Abuse Treatment

5. Short prescriptions of opiates

6. Opiate Free Emergency Departments

7. Alternatives to Opiates
Medications
Alternative procedures

8. Medications
IV Tylenol
IV ketorolac

9. Lidocaine for kidney stones and headaches

10. Propofol for headaches

11. Ketamine for chronic pain

12. Nitrous Oxide

13. Nerve blocks
Joint
Peripheral Nerve
Regional
Dental

15. Dry Needles

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

17. Opioid Advocacy
Prescription Laws
PDMP laws
First responder

18. Opioid Prescriptions
Limits on days?
Limits on morphine equivalents

19. Narcan

20. Narcan Prescriptions

21. Suboxone & Detox services