StuWilli, Author at Journal of Urgent Care Medicine

Abstracts in Urgent Care Medicine

Topical TXA vs Merocel in anterior epistaxis Cool Running Water Reduces Need For Skin Graft In Pediatric Burns Efficacy Oral Ibuprofen at Various Doses for Short-Term Pain Relief Do Patients Know What Fracture Means? Tramadol’s Numerous Adverse Drug Reactions Recurrent Febrile Seizures Increase Morbidity And Mortality Yijung Russell, MD Topical TXA Is as Effective as Merocel in Stopping Anterior Epistaxis Key point: Atomized TXA with nasal compression is as effective as Merocel in stopping anterior …

In Memoriam: Peter Rosen, MD

It’s a popular, but trite, tribute to say someone “wrote the book on [fill in the blank].” It’s usually not a statement of fact, however. A rare exception would be to say, “Peter Rosen wrote the book on emergency medicine” because, in fact, Peter Rosen, MD really was responsible for the first comprehensive textbook in emergency medicine (Rosen’s Emergency Management: Concepts and Clinical Practice, the first edition of which was published in 1983). A …

Laceration Repair: Why Quality Instruments Are Important for Patients, Clinicians, Hospitals, and Urgent Care

Urgent message: Laceration repair is one of the first skills urgent care clinicians are expected to learn and master. While much research and coursework are devoted to proper technique, very little attention has been paid to the tools of the trade. The author conducted his own research project to understand the essence of the individual instruments and instrument kits in the hope of optimizing (or improving) their design and use. Patrick O’Malley, MD INTRODUCTION Urgent …

A 42-Year-Old Female with Pain After a Child Fell on Her Hand

The patient is a 42-year-old woman who presents to urgent care after a child weighing approximately 70 pounds fell on her hand at a family gathering. Pain is severe around the base of the fifth metacarpal. On exam, you note soft tissue swelling in the ulnar aspect of the hand. View the images taken and consider what your diagnosis and next steps would be.

If Your Business Doesn’t Work on Paper, It Won’t Work in Reality!

Alan A. Ayers, MBA, MAcc is Chief Executive Officer at Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. Urgent message: A business plan should never be a formality to meet bank or investor requirements. Rather, it should represent a rigorous testing of all your analyses and assumptions around a business decision. Because, sometimes, the “best” outcome from diligent business planning just might be the decision to forego the opportunity …

Telehealth May Be Going Retail—But Is That Good for Patients?

Shoppers at H-E-B grocery stores were presented with a whole new product recently: telehealth “visits” with offsite healthcare providers. The chain is partnering with Reliant Immune Diagnostics, which has placed their MDBox telehealth platform in select H-E-B locations. For a charge of up to $50, shoppers can answer a few questions about their symptoms on MDBox before being connected to an off-site provider. That provider then makes whatever diagnosis they think is appropriate—and “writes” a …

Urgent Care Is Attracting More Migraine Patients; Be Sure You Know the Guidelines

An article just published in Neurology Advisor notes that the ongoing growth of the urgent care industry has led more and more patients with migraine to visit urgent care centers instead of the emergency room, where “long wait times, bright lights, loud noises, and stress over cost of treatment associated with emergency departments…can exacerbate migraine symptoms.” At the same time, the authors suggest that greater adherence to current treatment guidelines from the American Headache Society …

Make 2020 the Year Urgent Care Becomes Known for Excellent Antibiotic Stewardship

Urgent care has received more than its fair share of criticism in light of healthcare-wide overprescribing of antibiotics. While much of that discussion reflects misperceptions about our industry, clearly all healthcare settings need to be held accountable for improving their decisions to ensure antibiotics are prescribed only when necessary. With the Centers for Disease Control and Prevention continuing to re-evaluate their data on just how many antibiotic-resistant infections occur (with too many proving to be …

How Measles Forced One School District to Issue an Ultimatum: Get Vaccinated or Stay Home

Influenza isn’t the only vaccine-preventable disease wreaking havoc on communities across the country. Thirty-one states, from Maine to Hawaii, have seen confirmed cases of measles this year. In Seattle, the threat is seen as so great that the public school system has drawn a line in the sand: If your child hasn’t been vaccinated against measles, they’re not allowed to return to school after the winter holiday break. Days missed as a result will be …

Telemedicine May Offer New Opportunities to Reach Kids in the Community—and Even in School

It’s hard on everyone—teachers, parents, and certainly children—when a student feels ill in the middle of the school day. And if the school nurse thinks the patient needs more care than she provide, Mom or Dad has to leave work and get their offspring in to see the pediatrician ASAP. Children in the Salamanca City Central School District in New York don’t even need to leave the campus to be seen by a physician or …