Journal of Urgent Care Medicine

Epistaxis: A Clinical Review

Urgent message: Epistaxis is a common chief complaint representing a wide spectrum of severity. Key features such as the vital signs, location of the bleeding, and patient history, as well as practice and facility with certain procedures, can assist significantly with patient outcomes and dispositions. Lindsay Ballard, MD; Stephanie Fernandez, MD; and Joshua Kornegay, MD Citation: Ballard L, Fernandez S, Kornegay J. Epistaxis: a clinical review. J Urgent Care Med. 2021;15(10):13-18. Introduction Epistaxis is a …

Managing Concussions in Acute Care

Jordan Wackett MD, MPH, Joshua Kornegay, MD, Craig Rudy, MD The most recent recommendation from the Concussion in Sport Group calls for 24-48 hours of rest and a graded return to activity (unrestricted once asymptomatic)2. Unfortunately, asymptomatic from a concussion standpoint is not always obvious, which can make the new recommendation difficult to implement as patients may remain symptomatic while adhering to rest. Symptomatology is often multifactorial and they may be instructed to rest despite …

The Effect—or Non-Effect—of Rapid Medical Evaluation Programs on Resident Education

Urgent message: With significant overlaps in clinical staff, patient population, and provider training between emergency medicine and urgent care, valuable insights relevant to urgent care can be gleaned from understanding the effect of incorporating provider-in-triage training into emergency medicine resident education. INTRODUCTION Crowding is a major barrier to timely and effective patient care in emergency departments. Crowding occurs when the demand for care exceeds the ability to supply it in an efficient fashion. This is …