I use Amazon Cloudfront to host all my site\'s images and videos, to serve them faster to my users which are pretty scattered across the globe. I also apply pretty aggressi
The official approach is to use signed urls for your media. For each media piece that you want to distribute, you can generate a specially crafted url that works in a given constraint of time and source IPs.
One approach for static pages, is to generate temporary urls for the medias included in that page, that are valid for 2x the duration as the page's caching time. Let's say your page's caching time is 1 day. Every 2 days, the links would be invalidated, which obligates the hotlinkers to update their urls. It's not foolproof, as they can build tools to get the new urls automatically but it should prevent most people.
If your page is dynamic, you don't need to worry to trash your page's cache so you can simply generate urls that are only working for the requester's IP.