Category: Physician’s Perspective

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

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 – EdwinLeap.com

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

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

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 | TheUnion.com

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

Which medications prevent emergency hospital admissions? – On Medicine

Medications which help patients to avoid emergency hospital admissions are of high value in patient care. A new study published in BMC Medicine, which looked at 140 systematic reviews, identifies eleven such medications and although many are already prescribed in routine clinical

What Urban Docs Need to Know About Rural Docs

About a year ago I heard a prominent emergency physician say, “We’re training a generation of urban emergency physicians.” And he was spot-on about that. I have written extensively about the fact that it’s very difficult to staff rural locations

Drug shortages in ER are more common than you think | Fox News

Dr. Maryann E. Amirshahi was on her way to work at MedStar Washington Hospital Center in Washington, D.C., on Tuesday morning, hoping her eight-hour shift would be filled with all of the medications she needed to do her job. But

Transporting Patients to Appropriate Receiving Destinations

You and your partner find Mark, a 48-year-old male, sitting at the dining room table complaining of difficulty breathing and weakness. His skin is pale and clammy. He appears lethargic and is struggling to breathe. He looks at you as you

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