Ashley Blachford, Author at Journal of Urgent Care Medicine

Vaccinate Mom During Pregnancy To Reduce The Risk Of Infant Influenza

A retrospective cohort study of 245,498 infants born within the Kaiser Permanente system in Northern California between 2011 and 2022 found that maternal influenza vaccination during pregnancy significantly reduces the risk of infant influenza in the first 6 months of life, as published in Obstetrics & Gynecology. Overall, maternal vaccination was associated with a 44.4% reduction in influenza incidence among infants (95% confidence interval, 31.4–54.9%). Effectiveness varied by timing of the vaccine. Vaccination during the …

New Pre-Exposure Prophylaxis For HIV Offers Twice-Yearly Dosing Regimen

The Food and Drug Administration last week approved lenacapavir, a twice-yearly injectable HIV-1 capsid inhibitor, as pre-exposure prophylaxis (PrEP) for adults and adolescents weighing at least 35 kg. The product is the first twice-a-year PrEP option available in the United States, according to a press release from manufacturer Gilead. It offers an advantage over daily oral PrEP because it requires less frequent dosing, which could lead to better adherence. Clinical trials published in The New …

Deadly Falls For Older Adults Increase Significantly

In 2023, the unintentional-fall death rate for U.S. adults aged 65 years and older was 69.9 per 100,000, with those over age 85 seeing the highest increases in fall mortality over the previous 10 years, according to new data from the Centers for Disease Control and Prevention (CDC). From 2003 to 2023, death rates for men 65 and older increased sharply from 14.3 per 100,000 population in 2003 to 24.7 in 2023, and the rate …

Mental Health Urgent Care: Bridging the Gap in Crisis Care

Urgent Message: Meridian Health’s Mental Health Urgent Care service addresses the gap between outpatient therapy and hospitalization. As a way to improve access in communities, this model also provides cost savings and convenience for clients. Katie Nolin, MSc, LMFT, LCADC In 2024, Meridian Health launched its Mental Health Urgent Care service to address a critical gap in mental healthcare: the space between outpatient therapy and hospitalization. Since the program’s inception, we’ve served 39 clients, primarily …

Northeast Leads in Lyme-Related Diagnoses in Urgent Care

In the United States, 8 common species of ticks exist in different geographies that present risk of transmitting more than 10 different types of diseases. According to data from the Centers for Disease Control and Prevention, the most common ticks associated with human disease transmission in the United States are the American dog tick (Dermacentor variabilis, or D. similis), also known as a “wood tick,” and the blacklegged tick (Ixodes scapularis), commonly referred to as …

Postpartum Presentations: When Risk Arises After Delivery – Shortness of Breath

Urgent Message: Shortness of breath presentations for postpartum patients in urgent care should prompt consideration of venous thromboembolism or peripartum cardiomyopathy, or more benign conditions like deconditioning, bronchitis, or anxiety. Alexa Bailey, DO; Lauren Kostandaras, DO; Hannah Poorman, BS; Michael Weinstock, MD; Catherine Neal, DO. Key Words: Shortness Of Breath, Postpartum, Venous Thromboembolism, VTE, Deep Vein Thrombosis, DVT, Pulmonary Embolism, PE, Peripartum Cardiomyopathy Editor’s Note: The patient case scenario is hypothetical. Abstract Background: The postpartum …

Private Equity Investment In Urgent Care, By Number Of Centers, 2025

Fifteen years after the initial private equity platform investments in NextCare, FastMed, and MD Now, the number of urgent care rooftops backed by private equity has grown to 18% of the nation’s 14,423 urgent care centers, as of May 12, 2025. The total number of urgent care rooftops with private equity investment grew by 11% from 2,359 last reported by JUCM in April 2024 to today’s 2,622. Much of this growth has occurred organically and …

Join Me and Contribute to JUCM

It is an absolute honor and pleasure to serve as the new Editor In Chief of The Journal of Urgent Care Medicine (JUCM). To begin, I want to thank Joshua Russell, MD, for his incredible work with the journal over the last 5 years. His effort, dedication, and endless hard work have forever changed the direction of JUCM and shaped its future. It is my sincere hope to continue his impactful work by publishing meaningful …

42-Year-Old With Facial Injury

A 42-year-old man presents to urgent care on a Sunday afternoon. He explains that he was playing a game of pick-up football in his neighborhood and suffered a rough kick to the face from another player. His nose is swollen, and he’s clearly in pain. An x-ray is ordered to capture a lateral view of the nasal bones. Review the image and consider what your diagnosis and next steps would be. Resolution of the case …

56-Year-Old With Episodes of Chest Pain

A 56-year-old female with no past medical history presents to urgent care with 2 episodes of chest pain that woke her up this morning. She had 2 additional episodes while walking and while bathing earlier in the day. The episodes lasted about 10 minutes each, and she is currently free from chest pain. The pain is pressure-like and left-sided, radiating to her back. An ECG is obtained. View the ECG and consider what your diagnosis …

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