Journal of Urgent Care Medicine

Abstracts In Urgent Care: October, 2007

Abstracts In Urgent Care: September, 2007

Evaluating Fever of Unidentifiable Source in Young Children Key point: An excellent review of the approach to the febrile child. Citation: Sur DK, Bukont EL. Am Fam Physician. 2007;75:1805- 1811. Even with a thorough history and a complete physical examination, one in five acutely ill, nontoxic-appearing children had an unidentifiable source of fever. Physicians should be cautious in their approach because of the potential for unrecognized and untreated serious bacterial infections (SBI). The review notes …

Abstracts in Urgent Care: July/August, 2007

Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department with Syncope Key point: Syncope is a common presentation to the emergency department. These recommendations help stratify low- versus high-risk patients. Citation: Huff JS, Decker WW, Quinn JV, et al. Ann Emerg Med. 2007;49:431-444. American College of Emergency Physicians Issues Guidelines for Treatment of Syncope Citation: Barclay L. Medscape News. April 30, 2007. URL: http://www.medscape.com/viewarticle/ 555843?src=mp Syncope accounts …

Abstracts in Urgent Care: June, 2007

Evaluation of the Utility of Radiography in Acute Bronchiolitis Key point: Infants with typical bronchiolitis (clinically O2sat>92% and mild/moderate distress) do not need imaging. Citation: Schuh S, Lalani A, Allen U, et al. J Pediatr. 2007;150: 429-433. URL: http://sitemaker.umich.edu/emjournalclub/article_database/ da.data/1619753/PDF/bronchiolitis_xray_j_pediatrics.pdf The purpose of this study was to determine the proportion of radiographs inconsistent with bronchiolitis in children with typical presentation of bronchiolitis and to compare rates of intended antibiotic therapy before radiography versus those given …

Abstracts In Urgent Care: May, 2007

Are Cardiac Risk Factors of Value in ED Diagnosis of ACS? Citation: Zane RD. J Watch Emerg Med. March 9, 2007. URL: http://emergency-medicine.jwatch.org/cgi/content/ full/2007/309/3?q=etoc The Role of Cardiac Risk Factor Burden in Diagnosing Acute Coronary Syndromes in the Emergency Department Setting Citation: Han JH, Lindsell CJ, Storrow AB, et al. Ann Emerg Med. 2007;(2):145-152. Epub Dec 4, 2006. URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve& db=pubmed&list_uids=17145112&dopt=Abstract Key point: Cardiac risk factors are of no discriminatory value in emergent evaluation …

Abstracts in Urgent Care: April, 2007

Computed Tomography Coronary Angiography for Rapid Disposition of Low- risk Emergency Department Patients with Chest Pain Syndromes Citation: Hollander JE, Litt HI, Chase M, et al. Acad Emerg Med. 2007;14(2):112-116. URL: http://www.aemj.org/cgi/content/abstract/14/2/112 Key point: CT coronary angiography may safely allow rapid dis- charge of patients with negative studies. Patients with recent normal cardiac catheterization are at low risk for complications of ischemic chest pain. Computed tomography coronary angiography has high correlation with cardiac catheterization for …

Abstracts in Urgent Care: March, 2007

Abstracts In Urgent Care: March, 2007

Single-Dose Oral Dexamethasone in the Emergency Management of Children with Exacerbations of Mild-to-Moderate Asthma Citation: Altamimi S, Robertson G, Jastaniah W, et al. Pediatr Emerg Care. 2006;22(12):786-793. URL: http://www.pec-online.com/pt/re/pec/home.htm Key point: Singe-dose dexamethasone is equivalent to five days of oral prednisone for kids with mild/moderate asthma. The purpose of this study was to compare the efficacy of a sin- gle dose of oral dexamethasone (dex) versus five days of twice-daily prednisolone (pred) in the management …

On Antibiotic-Seeking, Predicting Prognosis in Rhinosinusitis and Mortality in Head Injuries, and When to Use Antibiotics in Conjunctivitis

Are Sore Throat Patients Who Hope for Antibiotics Actually Asking for Pain Relief? Citation: van Driel ML, De Sutter A, Deveugele M, et al. Ann Fam Med. 2006;4:484-485. URL: http://www.annfammed.org/cgi/content/full/4/6/494 Key point: The desire for pain relief is a strong predictor of the hope to receive a prescription for antibiotics. Antibiotics are still over prescribed for self-limiting upper respiratory tract infections such as acute sore throat; physicians point to patients’ desire for antibiotics as a …

On Stone Passage, Wait-and-See Prescriptions, Foreign Bodies, and Wireless Prescribing

Medical Therapy to Facilitate Urinary Stone Passage: A Meta-analysis Citation: Hollingsworth JM, Rogers MA, Kaufman SR, etal. Lancet. 2006;368:1171-1179. URL: http://www.thelancet.com/journals/lancet/article/PIIS0140673606694749/abstract Key point: Medical therapy is an option for facilitation of urinary-stone passage. Medical therapies to ease urinary-stone passage have been reported, but are not generally used. If effective, such therapies would increase the options for treatment of urinary stones. The authors searched MEDLINE, Pre-MEDLINE, CINAHL, and EMBASE, as well as scientific meeting abstracts, up …