StuWilli, Author at Journal of Urgent Care Medicine

A 4-Year-Old Who Fell from the Slide

Urgent message: Injuries sustained in playground falls are common presentations to emergency departments and urgent care centers alike. The urgent care physician should be alert to the keys to evaluation and management of traumatic neck pain. Muhammad Waseem, MD, Lalithambal Venugopalan, MD, and Gerard Devas, MD Cervical spine (C-spine) injuries occur infrequently in children. This is especially true for fractures of atlas vertebra, which is a rare injury in children. Its diagnosis may easily be …

55-year-old man with knee pain after fall

The patient is a 55-year-old man who presented complaining of pain after experiencing a fall on the street and a blow to the knee. View the x-ray taken and consider your diagnosis and next steps.

January 2008

The Physician’s Role in Occupational Health Sales and Marketing

When it comes to sales and marketing, the involvement of a physician can make or break an occupational health initiative. Physicians project credibility and can easily win the respect of employers and employees. In many cases, a sales effort can go “over the top” simply by bringing a physician into play. I know many physicians who exude charm and would be an asset in virtually any sales scenario. On the other hand, a physician who …

In Consideration of Binding Arbitration Agreements

JOHN SHUFELDT, MD, JD, MBA, FACEP Otter: Point of parliamentary procedure! Hoover: Don’t screw around, they’re serious this time! Otter: Take it easy, I’m pre-law. Boon: I thought you were pre-med. Otter: What’s the difference? Otter: Ladies and gentlemen, I’ll be brief. The issue here is not whether we broke a few rules, or took a few liberties with our female party guests—we did. In contrast to the dispute resolution procedure regarding the Delta house’s …

Urgent Care Occupational Medicine Defined

A joint International Labor Organization/World Health Organization committee defines occupational health as the “promotion and maintenance of the highest degree of physical, mental, and social well-being of workers in all occupations.” This article will refine that definition as it applies to urgent care occupational medicine (UCOM) and explore the rationale for incorporating products and services of value to employers within an urgent care clinic. Scope of Practice Clinics that offer occupational medicine services are uniquely …

Developing Data: January, 2008

As an emerging distinct practice environment, urgent care is in the early stages of building a data set specific to its norms and practices. In Developing Data, JUCM will offer results not only from UCA’s annual benchmarking surveys, but also from research conducted elsewhere to present an expansive view of the healthcare marketplace in which urgent care seeks to strengthen its presence. In this issue: How do the experiences of patients who sought treatment for …

The Case of a 17-Year-Old Male with Fever and Headache

This month, we will discuss Question III: What is the incidence of deaths in patients recently discharged from the ED? In May 2007, Sklar et al performed a very interesting study concerning deaths that occurred within seven days of ED discharge. A similar study had been done in 1994 by Kefer et al, looking at medical examiner cases. Sklar’s study, however, is more likely to have captured all unanticipated deaths because it was performed at …

Clinical Challenge: January, 2008

The patient is a 26-year-old male who slipped and twisted his left ankle. He is unable to bear weight on the ankle and there is marked local swelling circumferentially around the ankle. Oth erwise, he is generally healthy. View the x-ray taken (Figure 1) and consider what your diag- nosis and next steps would be. Resolution of the case is described on the next page.