One of the most difficult issues around prescribing opioids after surgery or trauma is knowing how to manage prescriptions for patients with a pre-existing chronic opioid use disorder. In this hour with opioid use disorder specialists Dr. Randy Brown and Dr. Elise Wessol, we explore the changes that chronic opioid use disorder — and treatment for it — have on patients’ pain.
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Primary care providers are responsible for much of a patient’s pain management after injury and trauma, both acutely and for patients who go on to develop chronic pain. Family practice physician and opioid specialist Alison Miller, MD describes best practices for opioid prescribing by PCP’s, and how to manage chronic pain needs in post-surgical and post-injury patients.
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Pre-hospital providers are often the first people to meet a patient about to have their first exposure to opioids, and sometimes tragically, the last to meet a patient with an opioid use disorder. In this hour, we speak with Emergency Medicien physician and EMS medical director Mike Lohmeier, MD about the role that pre-hospital providers play in the opioid epidemic.
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Opioid prescribing in the Emergency Department is suprisingly common — or at least we were surprised by the data presented in this hour with Emergency Medicine physicians Mike Repplinger and Ben Schnapp. During this session we talk about best practices in prescribing opioids for trauma in the Emergency Department, non-opioid alternatives, and how to manage chronic opioid use and opioid use disorder in the ED setting.
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Opioids prescribed after trauma and acute care surgery is among the most common first exposures to opioids. In this hour we talk with Dr. Hee Soo Jung about the current data on best practices for prescribing to these patients, best opioid alternatives, and strategies for minimizing the chance of opioid dependence or diversion.
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Everyone knows that kids are not just little adults, and that’s as true in pain management after surgery or trauma as anywhere else. In this hour of SPOTS, we talk with pediatric anesthesiologists Dr. Tim Casias and Dr. Jared Hylton about the pediatric specific prescribing of opioids and good opioid alternatives.
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