Journal of Urgent Care Medicine

Corticosteroids Can Reduce Pneumonia Deaths

Corticosteroids for patients hospitalized for community-acquired pneumonia (CAP) can lower the risk of death within 30 days by 28%, as published in The Lancet Respiratory Medicine. Researchers in the Netherlands analyzed 8 published trials that used risk-and-effect modeling and intent-to-treat to compare adjuvant corticosteroid treatment with a placebo in 3,224 hospitalized CAP patients. Of those studied, 7.6% (246 patients) died within 30 days of diagnosis (6.6% of 1,618 in the corticosteroid group vs 8.7% [140 …

Diabetic Ketoacidosis Due to Intra-articular Steroids: A Case Report

Tracey Quail Davidoff, MD, FCUCM Urgent Message: Corticosteroid use is common, and patients receiving corticosteroids of any type are at risk for hyperglycemia and possible ketoacidosis. Citation: Quail Davidoff T. Diabetic Ketoacidosis Due to Intra-articular Steroids: A Case Report. J Urgent Care Med. 2023;18(2):39-40 Key Words: polyuria, polydipsia, glucosuria, ketoacidosis, corticosteroids, intra-articular corticosteroids. Abstract A 63-year-old male presents to urgent care with a self-diagnosis of urinary tract infection (UTI). The patient had been experiencing urinary …

Abstracts in Urgent Care – September 2021

Cooling Pain from Digital Nerve Blocks Safety of Corticosteroids in Children Predicting the Course of Pediatric CAP Is Tranexamic Acid Helpful for Epistaxis? Drug Therapy for Sciatica Imaging May Not Correlate with Lumbar Pain COVID-19 Vaccination in Lactating Patients Applying Ice Reduces Pain from Digital Nerve Blocks Take-home point: Use of an ice pack applied prior to the administration of a digital nerve block reduces pain from local anesthetic injection Citation: Rasooli F, Sotoodehnia M, …