Practice Management
A pair of recent news stores add up to a cautionary tale for clinicians inclined to assume ailments commonly identified in the urgent care setting pose no serious threats. One case resulted in the partial amputation of a child’s leg, while the other cost a child her life. In Akron, OH a 6-year-old girl’s strep throat was followed by a flu diagnosis. When her left leg began to swell and she begged her parents not …
Urgent message: Upper respiratory infections (URIs) are the most common presenting complaint in urgent care. Regardless of etiology or provider specialty, antibiotics are prescribed 60% of the time for the treatment of URIs, contributing to drug-resistant respiratory organisms. Employing a multimodal intervention, the authors we were able to appreciate a modest, statistically significant decrease in the rate of antibiotic prescribing among urgent care providers. Introduction Antimicrobial resistance is arguably one of the greatest risks to …
Children whose parents ensure they get flu shots stand a significantly lower risk for death from influenza than children who are not vaccinated, according to new data from the Centers for Disease Control and Prevention. In fact, the CDC says between 2010 and 2014 flu vaccinations reduced the risk of flu-associated death by half among children with underlying high-risk medical conditions, and by nearly two-thirds among healthy children. The study, published in Pediatrics, is thought …
While there’s no way to apply stitches, start an IV, or cast a patient remotely, virtual visits may be just fine for many complaints that drive people to urgent care. A new study published in the Journal of Medical Internet Research shows that outcomes—defined as the need for follow-up visits for the same complaint—for some common diagnoses were no different between patients seen in person or via video hookup. In fact, that standard was met …
The mainstream media love to remind the public (ie, your prospective patients) that flu season is still in full swing. That being the case, why shouldn’t one of your physicians be the talking head assuring patients that all will be well if they do the right thing? When WJRT in Flint, MI did its most recent report on school districts’ efforts to fight influenza, Peter Stoyanoff, MD was there on screen, talking about what he …
While the country is locked in its annual battle against influenza, a second “bug” is creeping up and taking its toll on schools and workplaces, as well. Like the flu, norovirus picks up steam in the winter months and is especially hard—sometimes deadly—on seniors and young children. Now the Centers for Disease Control and Prevention predicts February will be the peak month for infection, which is characterized by intense gastrological symptoms such as nausea, vomiting, …
Carena, a virtual urgent care center in Seattle, has gained a healthy following among brick-and-mortar urgent care clinics around the country by “seeing” patients with fairly typical complaints like rashes and symptoms of bladder infections. The company reports that their lines are really jumping now that flu season is in full force. They, and other e-medicine providers, can’t offer flu shots, of course, but they can help patients who don’t have the flu avoid exposure …
Urgent message: The incidence of community-acquired pneumonia (CAP) is seasonal in nature, with a peak during the winter months and a trough in the summer months. In the urgent care setting, primary concerns are risk factors for CAP, as well as current treatment and testing guidelines. Overview Pneumonia is an acute alveolar lung infection that presents with infiltrates upon chest imaging and is often accompanied by fever, cough, sputum production, shortness of breath, and physical …
Hospitalizations for influenza are up 66% over the same period last year in Oregon, according to the Oregon Health Authority. They’re not just coming in through the emergency room, either; one clinician says his hospital’s urgent care and family practices departments, in addition to the ED, are all packed with flu patients. The spike in cases has put pressure on all practice settings, prompting the Health Authority to step up its efforts to promote flu …
With many states stuck in their peak flu seasons and death tolls rising—24 people have died from influenza in the state of Washington, alone—urgent care centers are being called upon to offer twofold support: First, to administer flu shots to patients who haven’t received them and provide supportive care for those who have influenza, and second, to care for patients fleeing emergency rooms that are overflowing with flu patients. Make sure area primary care office …