Journal of Urgent Care Medicine

Urgent Care Is Attracting More Migraine Patients; Be Sure You Know the Guidelines

An article just published in Neurology Advisor notes that the ongoing growth of the urgent care industry has led more and more patients with migraine to visit urgent care centers instead of the emergency room, where “long wait times, bright lights, loud noises, and stress over cost of treatment associated with emergency departments…can exacerbate migraine symptoms.” At the same time, the authors suggest that greater adherence to current treatment guidelines from the American Headache Society …

Make 2020 the Year Urgent Care Becomes Known for Excellent Antibiotic Stewardship

Urgent care has received more than its fair share of criticism in light of healthcare-wide overprescribing of antibiotics. While much of that discussion reflects misperceptions about our industry, clearly all healthcare settings need to be held accountable for improving their decisions to ensure antibiotics are prescribed only when necessary. With the Centers for Disease Control and Prevention continuing to re-evaluate their data on just how many antibiotic-resistant infections occur (with too many proving to be …

How Measles Forced One School District to Issue an Ultimatum: Get Vaccinated or Stay Home

Influenza isn’t the only vaccine-preventable disease wreaking havoc on communities across the country. Thirty-one states, from Maine to Hawaii, have seen confirmed cases of measles this year. In Seattle, the threat is seen as so great that the public school system has drawn a line in the sand: If your child hasn’t been vaccinated against measles, they’re not allowed to return to school after the winter holiday break. Days missed as a result will be …

Telemedicine May Offer New Opportunities to Reach Kids in the Community—and Even in School

It’s hard on everyone—teachers, parents, and certainly children—when a student feels ill in the middle of the school day. And if the school nurse thinks the patient needs more care than she provide, Mom or Dad has to leave work and get their offspring in to see the pediatrician ASAP. Children in the Salamanca City Central School District in New York don’t even need to leave the campus to be seen by a physician or …

New Data Reinforce the Need for Urgent Care to Differentiate from Freestanding EDs

It’s widely recognized that while freestanding emergency rooms are perfectly good places to go for walk-in care, the cost associated with that care is exorbitant compared with urgent care (and even more so compared with primary care or retail clinics). The problem is compounded by the fact that many patients who visit freestanding EDs think they’re walking into an urgent care center and are later hit with surprise bills. A new study in Academic Emergency …

Crain’s Health Pulse Lauds the Last Decade for the ‘Rise of Urgent Care’

With the decade about to come to a close, Crain’s Health Pulse considered what some of the biggest healthcare stories of the 2010s were—concluding that the ongoing “rise of urgent care” is significant among them. A Look Back at the 2010s: The Rise of Urgent Care notes that what made the period of 2010–2019 so good for urgent care as a business model is likely to spur further growth in 2020 and beyond. Where evolving …

E-911 ‘Triage’ Initiative Would Channel Many ED-Bound Patients to Urgent Care

Urgent care figures prominently in one Florida county’s efforts to curb excessive emergency room spending while also educating patients on how to choose the best setting for what ails them. A review of their 2018–2019 fiscal year told Volusia County, Florida officials that residents had an expensive habit: calling 911 when they didn’t have a way to get to a doctor’s office or going to the emergency room for relatively minor illness and injuries. The …

Free JUCM Webinar: Don’t Let Ingested Foreign Bodies Be a Foreign Concept for Providers

Children (and even some adults) put things in their mouths that don’t belong there—and sometimes they wind up being swallowed or inhaled. That risk may be especially high as holiday gifts are explored and batteries fall into small hands. The next free webinar offered by JUCM will feature Hansel Otero, MD, director of international pediatric radiology education and outreach at Children’s Hospital of Philadelphia sharing real-life cases (and accompanying x-rays) of patients with foreign bodies …

CDC Updates Data on Antibiotic Resistance—and Related Deaths—Again

We told you recently that the Centers for Disease Control and Prevention raised its estimate of the number of American who die every year from an antibiotic-resistant infections (from the long-held total of 23,000 to around 35,000 deaths). Just last week, however, the CDC revealed that the actual number is thought to be 44,000 deaths annually, out of 3 million people who become ill with resistant infections. At the same time, though, prevention efforts like …

It’s a Season of Cheer for Most—and the Highest Period of Suicide Risk for Others; Be Prepared

Christmas, Hanukkah, and New Year’s Eve and Day move many people to embrace religious and cultural festivities with family and friends. For those who are isolated, experiencing a downturn in their life experience, or struggling with mental or emotional illness, however, the winter holidays usher in additional risk for suicide. While the overall trend for suicides in the U.S. is concerning—suicide rates increased 25.4% between 1999 and 2016—January continues to be the month in which …