Journal of Urgent Care Medicine

New Bouncebacks! Medical and Legal Edition Informs Patient Safety, Reduces Risk

The new Bouncebacks! Medical and Legal 13th Anniversary Edition book, created by JUCM Senior Clinical Editor Michael B. Weinstock, MD, has the potential to change practice by improving patient safety while also decreasing legal risk to the clinician. Bouncebacks! offers actual chart documentation for challenging cases, chapters on legal issues (including “How to Spot the Well-Appearing Patient Who Will Soon Be Dead,” and “Litigation Stress: A Personal Story”), specific documentation recommendations, and deposition and trial …

Join the Bouncebacks! Book Club to Discuss a Critical Case

On February 5, 2024, the Bouncebacks! book club will talk through a new case from the book “Bouncebacks! Critical Care” (published in 2021) from 8PM to 9PM (Eastern) in a virtual meeting room. Fellow clinicians can join in the discussion of a case of a 52-year-old man with alcohol use disorder and chest pain. All the related information will be presented, and ownership of the book is not required to participate. Panelists include Heath Jolliff, …

An 18 Month-Old-Boy with Vomiting

In Bouncebacks, we provide the documentation of an actual patient encounter, discuss patient safety and risk-management principles, and then reveal the patient’s bounceback diagnosis. This case is from the book Bouncebacks!, available at www.anadem.com and www.amazon.com. History of Present Illness John is a healthy 18-month-old boy. One morning shortly after Christmas, he awoke with cough and congestion. After breakfast, he had an episode of vomiting. Though his symptoms remained mild over the next 3 days, …

A 16-Week-Old Infant with Bloody Vomitus

In Bouncebacks, we provide the documentation of an actual patient encounter, discuss patient safety and risk-management principles, and then reveal the patient’s bounceback diagnosis. This case is from the book Bouncebacks! Pediatrics, by Michael B. Weinstock, Kevin M. Klauer, Madeline Matar Joseph, and Gregory L. Henry, and is available at www.anadem.com and www.amazon.com. Introduction A 16-week-old infant was brought by her parents to the emergency department (ED) of a children’s hospital. Note: The following is the actual documentation by the provider. Visit …

A 34-Year-Old Man with Left Side Pain

In Bouncebacks, which appears periodically in JUCM, we provide the documentation of an actual patient encounter, discuss patient safety and risk-management principles, and then reveal the patient’s bounceback diagnosis. This month’s case reflects the actual documentation from an urgent care visit, and the patient’s bounceback the next day to the emergency department. Can you spot the red flags without knowing the outcome? MICHAEL B. WEINSTOCK, MD, and MIZUHO SPANGLER, DO Introduction Apicture tells a thousand …

July/August 2015

October 2011

The Case of a 32-year-old Woman With Headache

When an Uncommon—Potentially Catastrophic—Diagnosis Is Masked by a Common Complaint In Bouncebacks, which appears quarterly in JUCM, we provide documentation of an actual patient encounter, discuss patient safety and risk management principles, and then reveal the patient’s “bounceback” diagnosis. This Bouncebacks case is unique in that it also went to trial, excerpts from which are also presented. This case is adapted from the Bouncebacks! Medical and Legal (Anadem Publishing) by Michael B. Weinstock, MD, and …

The Case of a 42-year-old Fireman with Shoulder Pain: When a Lifeline Becomes a Noose

There are some diagnoses that will be missed by nine out of 10 physicians; this is one of them. However, our goal is not to meet “Standard of Care” but to provide excellence in care: Take every patient at face value, without trying to guess their intentions for secondary gain. Ensure you are aware of the chief complaint stated to the staff in the urgent care center. Be an open book in your impression and …

The Case of a 51-year-old Man with Back Pain

Most new third-year medical students can recite the “red flags” of back pain: extremes of age, fever, history of cancer, history of trauma, failure to improve after one month of therapy. Few would fail to consider metastatic disease in a 64-yearold woman with a history of breast cancer and new-onset low back pain, but what about the 51-year-old male without a significant past medical history?

« Previous