Seth and I do a quick overview of the challenges of managing chronic pain presentations in the EDHi there. A week ago, we read a tweet about the challenges of managing chronic pain presentations to the ED. I thought it was worthwhile having a discussion of the options in dealing with such presentations.
What we discuss:
- Harm minimisation strategy with limited prescribing
- Alternatives to opioids
- General approach to pain in the ED
- Systems in Australia and US to monitor drug addiction and seeking prescription drugs for illicit sale
- The repeat presenter
Now on to the Podcast
Right Click and Choose Save-as to Download the Podcast.
Prehospital and Retrieval Medicine - THE PHARM dedicated to the memory of Dr John Hinds 
great review article on this topic in August Edition of EM News
http://journals.lww.com/em-news/Fulltext/2012/08000/Special_Report__Treating_Pain_While_Curtailing.1.aspx
Very much enjoyed the podcast.
One correction: norco is a hydrocodone preparation, not oxycodone. And it has 325 mg of acetaminophen, not 500. The three norco doses are 5/325, 7.5/325, 10/325.
whoops, sorry for the mixup. haven’t given it since gen surg rotation back in MS3/ summer 2006. my mistake!