The Cognitive Dissonance of Narcotic Prescribing by Dr. Edwin Leap –

I know a bit about the opioid epidemic ravaging America.  My wife and I grew up in West Virginia and follow the news from home. I practice emergency medicine in rural South Carolina, and have worked in Georgia, North Carolina, Kentucky

The Joys of Rural Practice by Dr. Edwin Leap –

I practice in the rural, northwest corner of South Carolina, also known as “The Upstate.”  It is a place of expansive lakes, white-water rivers and the mist covered foothills of the Blue Ridge Mountains. The area includes thousands of acres

Rural doctors, you may be the last, best hope for someone. by Dr. Edwin Leap –

Recently, while on a locums assignment in a very small, rural hospital, I cared for a gentleman with chest pain.  His discomfort seemed classic for an MI, but his EKG did not. So I treated him as normal with aspirin

Life & Limb: In Rural E.R. by Dr. Edwin Leap –

Today we welcome a new columnist, Edwin Leap, M.D. His column, “Life & Limb,” will show rural America from the perspective of an emergency-room physician. Dr. Leap is medical director of the emergency department in a rural hospital in North Georgia. He’s

Creative Solutions to the Rural Doctor Shortage

I was recently at a meeting where some very influential physicians were discussing a question that I’ve been thinking about for a while: how do we find medical staff for rural emergency rooms and hospitals? It’s a tough question, because,

Ten Tips for Airway Management that Absolutely Have to be Part of Your Practice

Airway management is one of the hallmark skills of an emergency physician, but to call it a single skill does not give enough credit to the complexity of the task. It is actually a long sequence of micro-skills and decisions.

A day in the life of an emergency department doctor |

Emergency Departments are known to be the most fast-paced and highly utilized areas of a hospital. According to the Centers for Disease Control and Prevention, more than 135 million people a year will visit their local ER – about 43

Southern States Identified as Opioid Hotspots 

If you suffer a sprained ankle, you’re 14 times more likely to get opioid pain medication at a hospital emergency room in Arkansas than one in North Dakota. That’s one of the unusual findings uncovered by researchers at Penn Medicine,

In Texas, health insurance industry puts profit over patients

In a matter of days — unless the Texas Department of Insurance intervenes — the largest health insurance company in the state, Blue Cross Blue Shield of Texas, will put into place a policy to retroactively decide if a patient’s

State of emergency: An examination of freestanding ERs in Texas | Economic Snapshot | Dallas News

Since the Legislature passed a 2009 law allowing freestanding emergency rooms to operate in Texas, the industry has taken off statewide. The facilities aim to add convenience by allowing patients to be seen faster than in full-service hospitals’ ERs —