Journal of Urgent Care Medicine

Are We Setting Ourselves Up for the ‘Twindemic’ We Dodged Last Year?

When the gravity of the COVID-19 pandemic first became evident, the term “twindemic” (simultaneous high rates of both SARS-CoV-2 and seasonal influenza) was everywhere. Not only did it never emerge, but new data published in Morbidity and Mortality Weekly Report show that incidence of flu, respiratory syncytial virus, common human coronaviruses, parainfluenza viruses, human metapneumovirus, respiratory adenovirus, and rhinovirus and enterovirus were all actually lower than previous years. The authors speculate that the lower-than-average activity …

Here We Go Again: U.S. COVID-19 Cases Are Surging—and There’s Plenty of Blame to Go Around

The headlines have been populated with multiple stories of COVID-19 spikes in various corners of the U.S. Prominent among them was news of an outbreak among unvaccinated and vaccinated individuals in Provincetown, MA. According to the Centers for Disease Control and Prevention, three-quarters of the 470 cases there occurred in those who were fully immunized against the virus, and the Delta variant was found in most of the samples assessed. In close proximity to that …

Some Urgent Care Operators Are Betting That Focusing on Allergy Care Could Be Lucrative

It’s not unusual for patients experiencing an allergy attack to seek relief at an urgent care center. On the other hand, it is somewhat unusual for an urgent care operator to promote their services with an emphasis on allergy care. The facts are, though, that respiratory complaints drive a large proportion of urgent care visits, and that seasonal allergies are the biggest non-influenza cause. WellNow Urgent Care seems to think it’s time to leverage these …

Now That Kids 12 and Up Can Get the COVID-19 Vaccine, the Question Arises: Should They?

Approval under the current Emergency Use Authorization for children ages 12 years and older to receive a COVID-19 vaccine was heralded as an important step forward in taming the pandemic. Some experts are now questioning the wisdom of doing so, however. An editorial in the British Medical Journal goes as far as to state that vaccinating children is “hard to justify right now for most children in most countries,” based mainly on the belief that …

It’s Not Too Early to Start Looking at the Next Flu Season—and It’s Not a Pretty Picture

As reported in JUCM News previously, mandatory mask-wearing and social distancing through much of the COVID-19 pandemic not only saved lives with regard to that virus, but had the side benefit of protecting the public against influenza. Rates of flu infection, hospitalization, and death were lower than they’ve been in years during the 2020-21 season. The fear among public health officials and experts now is that flu rates could come back with a vengeance once …

More Timely Care: Effect of Online Queuing vs Change in Hours of Operation on Hourly Arrival Volumes. A Practice Management Reflection

Urgent message: Hours of operation changes may have more effect on leveling patient arrival volumes in a pediatric urgent care compared with an online queueing system alone. Aimy Patel, MD; Jennifer Johnson, MD; Brian R. Lee, PhD, MPH; Amanda Montalbano, MD, MPH Citation: Patel A, Johnson J, Lee BR, Montalbano A. More timely care: effect of online queuing vs change in hours of operation on hourly arrival volumes. a practice management reflection. J Urgent Care …

Febrile Seizure: An Urgent Care Overview

Urgent message: While alarming to parents, febrile seizures in children typically are benign and self-limited. However, the possibility of a life-threatening etiology mandates that the urgent care provider determine the type of seizure and employ appropriate assessments based on factors specific to each case. Tiffany Addington, MD CASE A previously healthy 3-year-old boy presented to urgent care after having a seizure at home. He had a fever that morning and was given ibuprofen. His mother …

A 60-year old Male with Dyspnea and Hypoxemia at the Start of a Global Pandemic

Urgent message: The identification and global impact of the novel coronavirus has significantly challenged medical decision-making. Urgent care providers now consider the inclusion of the SARS-CoV-2-causing illness in their differential diagnosis when evaluating patients with signs and symptoms of an acute respiratory infection. Louis Costanzo, MD, MBA Introduction As of March 2021, there have been more than 28.6 million documented cases of COVID-19 in the United States, with the majority of cases those ages 18 …

Pretravel Consultations in the Urgent Care Setting

Urgent message: A pretravel consultation assesses the patient’s fitness for travel in the context of anticipated risks associated with their journey. This individualized counseling takes into account not just age or destination, but also general health and other factors such as past travel experience. Given the proliferation of single-specialty travel medicine clinics, with appropriate training and preparation, these assessments can easily be performed in the urgent care setting. Benjamin Silverberg, MD, MSc, FAAFP, FCUCM Citation: …

We Dodged a Bullet with the ’20-’21 Flu Season—but What Happens When the Next One Hits?

Cases of influenza for the 2021–21 season were roughly 1% of what we’ve seen in the U.S. over the past few years (just 2,000 cases between September 2020 and April 2021, vs the typical 200,000-plus), according to the Centers for Disease Control and Prevention. Much of the credit is being given to precautions taken because of the COVID-19 pandemic. While wearing masks, ratcheting up our attention to everyday hygiene, and social distancing helped us ward …