Journal of Urgent Care Medicine

ED Boarding Costs Hospitals Twice as Much as Inpatient Care

Emergency department (ED) boarding has negative financial implications, according to a study in the Annals of Emergency Medicine. Researchers considered observational data for acute stroke patients admitted between January and February 2022 and found that the daily cost of ED boarding was nearly twice that of daily inpatient costs, even before considering the opportunity cost of keeping an ED bed occupied. For example, the total daily cost per patient with acute stroke who experienced ED …

Hybrid UC and ED Model Grows Nationwide

An analysis by the Washington Post and Kaiser Health News examined the recent trend of hospitals launching combined urgent care (UC) centers and emergency departments (EDs). One of the benefits of the hybrid centers is that patients don’t have to self-triage and decide on their own which level of care they need. As it turns out, in the real world of these hybrid centers, many patients can be treated appropriately at the UC level. For …

EDs See Summer Surge of COVID-19 Cases

Cases of COVID-19 have surged in emergency departments (EDs) over recent weeks, according to new data from the Centers for Disease Control and Prevention (CDC), and surges are now demonstrating upward slopes that could lead to peaks similar to what communities might expect in the cooler months of fall. The weekly average of ED patients with COVID-19 has reached 1.18% in the United States overall but 2.9% in Florida, making the “sunshine state” a leader …

An Atypical Cause of Fever and Confusion: A Case Report of Delayed Pulmonary Embolism Diagnosis

Francesca Cocchiarale, DO; Alexa Bailey, MS-3; Michael Weinstock, MD Urgent Message: Pulmonary embolism can be frequently missed as a diagnosis because it can present with a variety of signs and symptoms. Understanding clinical decision rules and myriad presentations can help urgent care providers determine when patients benefit from immediate referral to an emergency department. Citation: Cocchiarale F, Bailey A, Weinstock M. An Atypical Cause of Fever and Confusion: A Case Report of Delayed Pulmonary Embolism …

February is Shaping Up to Be ‘Norovirus Month’

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, …

Understanding the Freestanding Emergency Department Phenomenon

Urgent message: FSEDs have a role to play in our health care system but it’s not to supplant urgent care centers. ALAN A. AYERS, MBA, MAcc, Experity Introduction Freestanding emergency departments (FSEDs) are walk-in medical facilities—structurally separate and distinct from a hospital—that hold themselves out to provide emergency care to the general public. While they claim many similarities to hospital EDs—capabilities to diagnose and stabilize cardiac arrest, stroke symptoms, breathing problems and trauma—there are also …