Immobilizing Ankle Fractures Treating Septic Olecranon Bursitis EKG Interpretation: Human vs Machine preHEART Score and Prehospital Care Rethinking Otitis Media Management Boosters Limit Risk for COVID—but by How Much? Ivan Koay MBChB, FRNZCUC, MD Casting vs Bracing for Ankle Fractures Take-home point: Plaster casting was not superior to functional ankle bracing for certain ankle fractures. Citation: Kearney R, McKeown R, Parsons H, et al. Use of cast immobilisation versus removable brace in adults with an …
Read MoreAbstracts in Urgent Care – March 2022
When Handlebar Meets Abdomen Corticosteroids and Asthma Antibiotics in Pediatric PAC Surfactant Use in AOM COVID Pneumonia and Disease Progression Neutralizing Antibodies in COVID Pediatric Abdominal Injuries from Handlebars Take-home point: Handlebar impact is a high-risk mechanism for serious intraabdominal injury in children and necessity of operative intervention is common. Citation: Vanderwalle R, Barker S, Raymond J, et. al. Pediatric handlebar injuries: more than meets the abdomen. Pediatr Emerg Care. 2021;37(9):e517-e523. Relevance: It is important …
Read MoreAbstracts in Urgent Care – February 2022
Surgery—or Not—for Appendicitis? Oral Analgesics and Musculoskeletal Extremity Pain What Patient Don’t Know About Ionizing Radiation Risk with NSAIDs, Cox-2 Inhibitors, and Opioids in Fractures Inhaled Budesonide for COVID-19 Spread of COVID-19 within the Household Ivan Koay MBChB, FRNZCUC, MD Nonoperative Management of Acute Appendicitis Take-home point: This study adds to a growing body of literature suggesting that, in select patients, a nonsurgical approach to appendicitis management leads to similar outcomes. Citation: The CODA Collaborative …
Read MoreAbstracts in Urgent Care – January 2022
Pediatric Burns and Cool, Clear Water Limit Screen Time After Concussion? Gastroenteritis in Children Diagnosing Giant Cell Arteritis POCUS and Ectopic Pregnancy Detecting C diff Vaccinating Adolescents Against COVID-19 Ivan Koay MBChB, FRNZCUC, MD First Aid for Pediatric Burn Patients Take-home point: Many children with burns receive inadequate cooling after burns when presenting for emergency care. Citation: Frear C, Griffin B and Kimble R. Adequacy of cool running water first aid by healthcare professionals in …
Read MoreAbstracts in Urgent Care – October 2021
Duration of UTI Treatment in Men Acute Respiratory Illness in Children Isopropyl Alcohol for Acute Nausea in Adults Neurological Events and Metronidazole Prescribing Do the Modified Sgarbossa Criteria Offer Advantages Over the Original? Safety of a Second COVID-19 Vaccination Dose in Patients Who Had a Reaction to the First How Long Should We Treat UTI in Men? Take-Home Point: In afebrile men with UTI symptoms, a 7-day course of ciprofloxacin or trimethoprim/sulfamethoxazole was noninferior to …
Read MoreAbstracts in Urgent Care – September 2021
Cooling Pain from Digital Nerve Blocks Safety of Corticosteroids in Children Predicting the Course of Pediatric CAP Is Tranexamic Acid Helpful for Epistaxis? Drug Therapy for Sciatica Imaging May Not Correlate with Lumbar Pain COVID-19 Vaccination in Lactating Patients Applying Ice Reduces Pain from Digital Nerve Blocks Take-home point: Use of an ice pack applied prior to the administration of a digital nerve block reduces pain from local anesthetic injection Citation: Rasooli F, Sotoodehnia M, …
Read MoreAbstracts in Urgent Care – June 2021
Light Exercise and mTBI Asymptomatic Hypertension—What’s the Risk? Racial Factors in Pain Treatment Supplemental Oxygen in ACS Shorter Courses of Antibiotics for Pediatric CAP Who’s Behind that COVID-19 Mask? COVID-19 Infection in Healthcare Workers Light Exercise for Patients with Mild Traumatic Brain Injury (mTBI) Take-home point: There is no benefit for recovery in patients with mTBI randomized to light exercise compared with standard care. Citation: Varner C, Thompson C, de Wit K, et al. A …
Read MoreAbstracts in Urgent Care – 01 2021
Language Barriers and Treating Children Ibuprofen and Pediatric with Ankle Sprains Facial Palsy and Leukemia Fentanyl and Midazolam for Younger Patients Are Hypotonic Fluids Safer in Acutely Ill Children? Comparing Symptoms of COVID-19 and Flu Examining COVID-19 in Children Pandemic Resource Limitations—and Burnout Ivan Koay, MBChB, FRNZCUC, MD Extra Care Needed when Dealing with Families where English use is Limited Key point: Children of parents with limited comfort with English (LCE) are twice as likely …
Read MoreAbstracts in Urgent Care – December 2020
Projecting Outcomes in mTBI Concussion Recovery in Athletes A New Tool in Assessing Adolescent Concussion Head Injury in Patients Taking Warfarin Infants with Scalp Haematoma To CT or Not to CT Low-Risk Peds Head Injury? Posttraumatic Headache in Children Out-of-Hospital Cardiac Arrest Ivan Koay, MBChB, FRNZCUC, MD Identifying mTBI Patients with Long-Term Poorer Outcomes Key point: Patients with a history of psychiatric disorder, racial minorities, and those with lower level of education are most likely …
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