With increasing availability and utilization of advanced technologic modalities in medicine, questions frequently arise regarding the appropriate use of recorded images of patients. While recorded images (photography, video, etc.) of patients may often be appropriate for documentation, medical record use, peer review, and teaching, the nonmedical use of recorded images for entertainment or commercial purposes is more problematic, both ethically and procedurally. Practices regarding filming of patients in academic emergency departments are reviewed, and suggested guidelines are provided regarding the appropriate and inappropriate filming of patients.