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Video Resources

Earlier this year, Dr. Knox Todd was joined on set by several experts in the field of pain management to discuss the topics covered in the CME component of the EMPainline program.  Scroll down to view the video resources.

Participants include:

Knox H. Todd, MD, MPH - Program Moderator
Professor and Chair, Department of Emergency Medicine
The University of Texas MD Anderson Cancer Center

Penney Cowan
Founder and CEO
American Chronic Pain Association 

Eric Legome, MD 
Chief, Emergency Medicine, Kings County Hospital 
Professor of Clinical Emergency Medicine SUNY Downstate College of Medicine

Lewis S. Nelson, MD
Director, Fellowship in Medical Toxicology
New York City Poison Control Center


EMPainline Video Resources


Clip 5 - Risky Pills or Risky PatientsRisky Pills or Risky Patients
The discussants provide insight on their views of the role of the medication compared to the role of the patients in the problems associated with opioid prescribing in the ED. 

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

Click on the image to the left to view the video. After watching the video, use the "back" button in your browser to return to this page.


Clip7and8 - 3 things to change in opioid prescribingThe Top Three Things to Change in Opioid Prescribing
Our panel discuss the three most important changes needed in prescribing opioids and in interacting with patients in pain.

Discussants include: Knox Todd, Penney Cowan, and Lewis Nelson

Click on the image to the left to view the video. After watching the video, use the "back" button in your browser to return to this page.


Clip9 - Geographic variability of opioid related issuesGeographic Variability of Opioid Related Issues
Dr. Nelson provides his input on the influence of patient demographics on abuse, misuse and overdose associated with opioid therapy

Discussants include: Knox Todd, Penney Cowan, and Lewis Nelson

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Clip10 - Demographic and resource issues in opioid abuseDemographic and Resource Issues in Opioid Abuse
Penney Cowan adds her thoughts on the impact of patient factors including education and resources as well as access to care

Discussants include: Knox Todd, Penney Cowan, and Lewis Nelson

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Clip12 - Prescription Drug Monitoring Programs - Benefits and IssuesPrescription Drug Monitoring Programs - Benefits and Issues
The panel discusses the current status of PDMPs on a state level.  There are clearly issues that need to be addressed in order to improve the use of PDMPs, and integration into EMRs will be critical.

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

Click on the image to the left to view the video. After watching the video, use the "back" button in your browser to return to this page.


Clip13 - PDMPs - How to improve them in the EDImplementing Prescription Drug Monitoring Programs in the ED
Dr. Legome offers practical insights into the utility of PDMPs and how to increase practitioner use of these instruments.

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

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Clip14 - PDMP Impact on Opioid PrescribingPDMP Impact on Opioid Prescribing
Dr. Nelson adds his thoughts on the data that has been generated on the impact of PDMPs on opioid prescribing.  He also discusses optional vs. mandatory use of the database when prescribing opioids.

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

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Clip15 - PDMP - Mandatory vs Non-Mandatory vs EMR IntegratedPDMPs - Mandatory vs Voluntary vs EMR Integrated
The discussion of PDMPs continues and the panel provide their thoughts on the value of mandatory vs voluntary as well as the tremendous impact of integrating PDMPs into electronic medical records.  Also discussed are the biases that impact the use of PDMPs.

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

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Clip16 - Value of Risk Assessment ToolsValue of Risk Assessment Tools
It is very common to have agencies recommend a variety of Risk Assessment Tools.  The utility of the tools are looked at and surprising recommendations about their use in the ED are presented.

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

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Clip17 - Strategies for Managing Expectations in Chronic Pain MangementStrategies for Managing Patient Expectations in Chronic Pain Management
Penney Cowan discusses how she advises chronic pain patients on how they can manage their pain and how to incorporate a complete approach not just pharmaceutical management. 

Discussants include: Knox Todd, Penney Cowan, and Lewis Nelson

Click on the image to the left to view the video.  After watching the video, use the back" button in your browser to return to this page.


Clip18- Strategies for Managing Patient Expectations in Chronic Pain Management - the ED Physician PerspectiveStrategies for Managing Patient Expectations in Chronic Pain Management - The ED Physician Perspective
Lewis Nelson, MD provides his perspective on the interaction with patients with pain in the ED.

Discussants include: Knox Todd, Penney Cowan, and Lewis Nelson

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Clip19and20 - Results of a Chronic Pain Patient Survey Regarding Their Visits to the ED for Pain Related EpisodesResults of a Chronic Pain Patient Survey Regarding Visits to the ED for Pain Related Episodes
A review of the Chronic Pain Association survey and their satisfaction with ED visits and physicians.  The discussion includes surprising insights into chronic pain patient interactions,  imaging studies and the appropriateness of care.

Discussants include: Knox Todd, Penney Cowan, and Lewis Nelson

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Clip21 - Press-Ganey Scores – Impact on the ED Practitioner Behavior
Press-Ganey Scores Impact on the ED Practitioner Behavior
Lewis Nelson offers insight on the insight on prescriber behavior due to Press-Ganey scores. Do they really change behavior?

Discussants include: Knox Todd, Penney Cowan, and Lewis Nelson

Click on the image to the left to view the video.  After watching the video, use the back" button in your browser to return to this page.

Press-Ganey Scores: Do They Drive Prescriptions?Clip22 - Press-Ganey Scores – Do They Drive Prescriptions
An interesting discussion on how to increase the patient-practitioner interaction time. Additional resources are called for.

Discussants include: Knox Todd, Penney Cowan, and Lewis Nelson

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Opioid Storage and DisposalClip24 - Opioid Storage and Disposal
The discussants offer thoughts into the critical issues of safe opioid storage and disposal. They also offer insights into the role of communication and other members of the healthcare team.

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

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Clip25 - Safe Storage of OpioidsSafe Storage of Opioids
Lewis Nelson offers valuable insights into the impact of improper med safety. The discussion addresses written instructions, lock boxes, and general advice on safe storage.

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

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Clip27 - Safe Storage of Opioids – A Physician-Patient Interaction
Safe Storage of Opioids: A Physician-Patient Interaction
An example of a physician/patient interaction regarding the risks associated with improper storage

Discussants include: Knox Todd, Penney Cowan, and Eric Legome

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Clip28 - The American Chronic Pain Association Advice on Safe Storage of MedicationThe American Chronic Pain Association Advice on Safe Storage of Medication
Penney Cowan reviews the unique methods of communicating to their patients and others about how to utilize safe storage practices of all their pain medications.

Discussants include: Knox Todd, Penney Cowan, and Eric Legome

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Clip33 - The Dilemma of Prescribing for a Patient Suspected of Drug Seeking Behavior – Part 1
The Dilemma of Prescribing for a Patient Suspected of Drug Seeking Behavior - Part 1
Dr. Legome discusses how he would manage a patient suspected of drug seeking behavior.

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

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Clip34 - The Dilemma of Prescribing for a Patient Suspected of Drug Seeking Behavior – Part 2The Dilemma of Prescribing for a Patient Suspected of Drug Seeking Behavior - Part 2
Dr. Nelson adds his insight on this important and difficult clinical interaction

Discussants include: Knox Todd, Eric Legome, and Lewis Nelson

Click on the image to the left to view the video. After watching the video, use the "back" button in your browser to return to this page.