Journal of Urgent Care Medicine

Abstracts in Urgent Care – February 2024

Predicting Which Patients Need an X-Ray Before Attempting Shoulder Reduction Take Home Point: In this study, the Fresno-Québec Rule showed excellent sensitivity in identifying concomitant clinically significant fractures in patients with anterior shoulder dislocations. Citation: Benhamed A, Bonnet M, Miossec A, et. al. Performance of the Fresno-Quebec Rule in identifying patients with concomitant fractures not requiring a radiograph before shoulder dislocation reduction: a multicenter retrospective cohort study. Eur J Emerg Med. 2023 Dec 1;30(6):438-444. doi: …

Updates on Sports Related Concussion from the 6th International Conference on Concussion in Sport

Over the last 20 years, the Concussion in Sport Group has met periodically to develop statements guiding the assessment and management of sports related concussions. The most recent meeting of the group took place in Amsterdam, Netherlands, in October 2022 and produced updated and freely available, evidence-informed tools to assist in the detection and assessment of sports related concussion (SRC). These tools include: the Concussion Recognition Tool-6 (CRT6); Sport Concussion Assessment Tool-6 (SCAT6); Child SCAT6; …

Abstracts in Urgent Care January 2024

Can Artificial Intelligence Be Used as a Behavioral Health Tool for Adolescents? Take Home Point: Conversational Artificial Intelligence (CAI) may have potential as a tool to help address the unmet needs of adolescent behavioral health treatment. Citation: Opel D, Kious B, Cohen I. AI as a Mental Health Therapist for Adolescents. JAMA Pediatr. doi:10.1001/jamapediatrics.2023.4215 Relevance: Mental health issues among adolescents have been rapidly increasing in prevalence. The increasing need for adolescent mental healthcare has led …

Abstracts in Urgent Care December 2023

Blood Pressure Monitoring—Cuff Size Matters Take Home Point: The use of an inaccurately sized automated blood pressure (BP) cuff resulted in significantly inaccurate BP readings. Citation: Ishigami J, Charleston J, Miller E, et. al. Effects of Cuff Size on the Accuracy of Blood Pressure Readings: The Cuff(SZ) Randomized Crossover Trial. JAMA Intern Med. 2023 Oct 1;183(10):1061-1068. doi: 10.1001/jamainternmed.2023.3264. Relevance: Chronic hypertension is a leading cause of cardiovascular and cerebrovascular morbidity and mortality, and accurate measurement …

Abstracts in Urgent Care – October 2023

Which Sample is More Accurate for STIs: Vaginal or Urine? Take Home Point: Vaginal swabs are the optimal sample type for women being evaluated for chlamydia, gonorrhea, and/or trichomoniasis. Citation: Aaron K, Griner S, Footman A, et. al. Vaginal Swab vs Urine for Detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis: A Meta-Analysis Ann Fam Med. 2023 Mar-Apr;21(2):172-179. doi: 10.1370/afm.2942 Relevance: Many sexually transmitted infections (STI) are asymptomatic in women and can have serious …

Abstracts in Urgent Care – September 2023

How Long Should We Prescribe Antibiotics for Pediatric UTI? Take-Home Point: Children receiving 5 days of antibiotics for urinary tract infection (UTI) had a higher rate of treatment failure that children receiving 10-day courses. However, absolute treatment failure rates were low in both groups. Citation: Zaoutis T, Shaikh N, Fisher B, et. al. Short-Course Therapy for Urinary Tract Infections in Children: The SCOUT Randomized Clinical Trial. JAMA Pediatr. 2023 Jun 26; e231979. Relevance: There have …

Abstracts in Urgent Care – July/August 2023

Click Here to download the article PDF. Lyme Disease Diagnosis in Children of Different Racial Groups Take-home point: Black children with Lyme disease were more likely to have arthritis rather than cutaneous findings at the time of diagnosis. Citation: Hunt K, Michelson K, Balamuth M, et al. Racial differences in the diagnosis of Lyme disease in children. Clin Infect Dis. 2023;76(6):1129-1131. Relevance: Erythema migrans (EM) is commonly felt to represent the first clinical finding in …

Abstracts in Urgent Care – June 2023

Click Here to download the article PDF Ivan Koay MBChB, MRCS, FRNZCUC, MD Immersive Virtual Reality Use in Reducing Pediatric Procedural Anxiety Take-home point: Immersive virtual reality (IVR) use in pediatric patients significantly improved pain and anxiety compared with the control group. Citation: Wong C, Choi K. Effects of an immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing venipuncture: a randomized clinical trial. JAMA Netw Open. 2023;6(2):e230001. Relevance: Poorly managed procedural …

Abstracts in Urgent Care – May 2023

Click Here to download the PDF Does My Patient Have a Testicular Torsion? Take-home point: Symptoms most suggestive for testicular torsion (TT) are adolescent/pubertal age, palpated hard testicle, and the presence of nausea and vomiting associated with acute scrotal pain. Citation: Lukosiute-Urboniene A, Nekrosius D, Dekeryte I, et al. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Emerg Med J. 2023;40:134–139. Relevance: As symptoms of TT …

Abstracts in Urgent Care – April 2023

Ivan Koay MBChB, MRCS, FRNZCUC, MD Clinician Training to Optimize Antibiotic Choice and Duration for Uncomplicated Skin/Soft Tissue Infections Take-home point: Maintenance of certification (MOC) project participation was associated with improvement in evidence-based practice and was sustained after the intervention period. Citation: Wiltrakis S, Jaggi P, Lu L, et al. Optimizing antibiotic treatment of skin infections in pediatric emergency and urgent care centers. Pediatrics. 2022 Oct 1;150(4): e2021053197. Relevance: Antibiotic stewardship remains one of the …