Neuro Effects of COVID-19 Melatonin and Children with Postconcussive Symptoms Pediatric, Sports-Related Concussion Acute Migraine in Children and Adolescents Emily Montgomery, MD and Kelsey Riggs, MS3 Neurologic Manifestations of COVID-19 Take-home point: COVID-19 has a variety of presentations that include neurologic manifestations—most commonly, headaches. Citation: Niazkar HR, Zibaee B, Nasimi A, Bahri N. The neurological manifestations of COVID-19: a review article. Neurol Sci. 2020 Jul;41(7):1667-1671. Relevance: More than 1/3 of patients with COVID-19 experience neurologic …
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Abstracts in Urgent Care – April 2021
Acetaminophen vs Ibuprofen in Children Optimizing Podcasts for Learning Dosing Ketorolac IV in Renal Colic Torus Distal Radius Fractures Avulsion Fractures of the Fifth Metatarsal Base COVID-19 and ECGs Long-Term Sequelae of COVID-19 COVID-19, Zinc, and Vitamin C Use of Acetaminophen and Ibuprofen for Fever and Pain in Young Children Take-home point: Acetaminophen and ibuprofen are both safe for short-term treatment of pain and fever in children under 2 years of age. Ibuprofen produces more …
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Abstracts in Urgent Care – March 2021
‘Seat Belt’ Signs Post MVA Pain Control in Corneal Abrasions Analgesia with Reduction of Shoulder Dislocation Can Early PT Help with Sciatica? How Vaping Compromises Breathing COVID-19 in the Country Pandemic Depression—A Real Thing? Avijit Barai, MBBS, MRCS, MSc (Critical Care), PgCertCPU, FRNZCUC Workup for “Seat Belt” Sign in Trauma Patients Take-home point: The presence of a “seat belt” sign has a high association with intraabdominal organ injury. Citation: Shreffler J, Smiley A, Schultz M, et …
Read MoreAbstracts in Urgent Care – February 2021
Septic Knee Joints in Adults Recurrent Cellulitis Analgesics and Risk for Fracture Nonunion Assessing for MACE with and without a Troponin IV Fluids in Headache Management COVID-19 and Telemedicine COVID-19: The Second Wave Dr Avijit Barai, MBBS, MRCS, MSc (Critical Care), PgCertCPU, FRNZCUC Diagnostic Dilemma: Septic Arthritis of Knee Joints in Adult Patients Key point: Synovial fluid white cell count and Gram stain are the most useful laboratory markers for septic arthritis. Clinical evaluation, synovial …
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 …
Read MoreAbstracts in Urgent Care November 2020
Antibiotics (or Not?) for Dog Bites Scaring the Quest for Antibiotics Out of Patients Post-Op Antibiotics in Complex Appendicitis How Long Should Sepsis Patients Receive Antibiotics? Times Are Changing for Patients with Allergic Rhinitis Avijit Barai MBBS, MRCS, MSc (Critical Care), PgCertCPU, FRNZCUC Prophylactic Antibiotics for Dog Bites Key point: The majority of the patients presenting to emergency room with dog bites receive prophylactic antibiotics either in the hospital or on discharge. About one quarter …
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Abstracts in Urgent Care – October 2020
Ethnic Background Matters in ECG Evaluation Lean on Risk Stratification Tools in Chest Pain Lasting Effects of Headache in Children Trauma and Childhood Migraine Comparing ‘Fixes’ for Distal Radial Fractures in Adolescents Casting Options in Distal Radius Fractures in the Elderly Avijit Barai, MBBS, MRCS, MSc (Critical Care), PgCertCPU, FRNZCUC Ethnicity and STEMI Criteria of ECG Key point: The ethnic background of patients should be considered during ECG evaluation of ST segment elevation myocardial infarction …
Read MoreAbstracts in Urgent Care – October 2020 (PUCC)
Spotlight on Original Research in Pediatric Urgent Care: Excerpts from the 2020 Pediatric Urgent Care Conference (PUCC). Los Angeles, CA David J. Mathison, MD, MBA Decreasing Length of Stay in the Pediatric Urgent Care with Electronic Discharge Instructions* Wooster J, Patel A, Nedved A, Lee B The aim of this research was to determine if an electronic discharge process could decrease length of stay by an average of 10 minutes per patient. An electronic discharge …
Read MoreAbstracts in Urgent Care – September 2020
Seasoned Eyes and ECGs Comparing ACS Decision Tools Does TMACS Stack Up? Cluing Patients in on Chest Pain Gender Differences in Chest Pain Assessment Duration of Chest Pain in Diagnosing MI Ivan Koay, MBChB, FRNZCUC, MD When It Comes to Reading ECGs, Experience Counts Key Point: Advanced practice practitioners (APP) in this study had a level of skill in ECG interpretation equal to first-year EM attendings. These skills could be utilized, potentially, as screening pathways …
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