Journal of Urgent Care Medicine

Enhanced Nasal Suctioning Doesn’t Help Baby’s Bronchiolitis

A study in JAMA Network Open compared the effectiveness of enhanced nasal suctioning and minimal suctioning in infants with bronchiolitis discharged home from pediatric emergency departments (EDs). In a clinical trial of 367 infants at 4 tertiary-care pediatric EDs in Canada, participants were randomized to minimal suctioning via bulb or enhanced suctioning via a battery-operated device. The authors found enhanced suctioning did not alter the disease course compared with minimal suctioning. Get some sleep: How …

Abstracts in Urgent Care November 2021

POCUS in Ocular Presentations Experiencing—and Handling—Patient Biases Self-Swabbing for STIs CAM Boots for Toddler’s Fracture? Treating Children with Bronchiolitis Azithromycin in COVID-19 Point-of-Care Ultrasound for Eye Examination Take-home point: Ocular ultrasound (OUS) can be a quick, safe, and effective way to assess eye complaints and complements the clinical exam. Citation: Manton J, Henry C. Benefits to utilising ultrasound in examining the eye. Emerg Med Australas. 2021;33:745–747. Relevance: As availability of point-of-care ultrasound (POCUS) becomes more …

Do Respiratory Outpatient Clinics Decrease Bronchiolitis Reevaluation Rates? Observational Data from a Quality Improvement Project

Urgent message: Establishing respiratory outpatient clinics has been shown to decrease reevaluation rates for patients with bronchiolitis, especially in children aged <12 months and/or those who receive suctioning during their initial urgent care encounter. Prema D. Souza, MD; Aimy Patel, MD; Brian Lee, PhD; and Amanda Nedved, MD Citation: Souza PD, Patel A, Lee B, Nedved A. Do Respiratory Outpatient Clinics Decrease Bronchiolitis Reevaluation Rates? Observational Data for a Quality Improvement Project. J Urgent Care …

An 18-Year-Old Female with Sudden-Onset Chest Pain

An 18-year-old female presents to your urgent care center complaining of sudden-onset, sharp chest pain. She denies any trauma. View the image taken and consider your next steps, along with possible diagnoses.

Abstracts in Urgent Care: January, 2010

CAP Treatment Recommendations: Guided in the Right Direction Key point: Results of two large cohort studies indicate that adherence to guidelines for treating community-acquired pneumonia is a good thing. Citations: Arnold FW, LaJoie S, Brock GN, et al. Improving outcomes in elderly patients with community-acquired pneumonia by adhering to national guidelines: Community-Acquired Pneumonia Organization International Cohort Study results. Arch InternMed. 2009;169:1515-1524. McCabe C, Kirchner C, Zhang H, et al. Guideline-concordant therapy and reduced mortality and …