Journal of Urgent Care Medicine

Las Vegas Takes a New Approach to 911 Calls—Will Urgent Care Benefit?

Las Vegas is the latest municipality to recognize that not all 911 calls require response with a fully equipped ambulance and EMS crew. As part of a new pilot program by the Las Vegas Fire and Rescue Department, 911 operators are being trained to identify which calls really do require a full emergency response, and which could be transferred to a specially trained nurse who can guide the patient to the right level of care—including …

Taking Care of the First Responders Who Take Care of You, Your Staff, and Your Patients

We’ve all seen painful reminders (or experienced them ourselves) of just how helpless natural disasters can leave us. We’ve also been touched and inspired by the bravery and selflessness of first responders—firefighters, police, EMS, and search & rescue personnel—who come to the aid of people in need regardless of their own circumstances. West Virginia University Occupational Medicine is saying thank you by offering a free physical exam for a day at select locations to all …

Las Vegas Takes a Flyer on Phone Triage to Help Stem EMS Runs

Residents who call 911 for immediate medical care could find themselves getting a lift from a rideshare to a local urgent care center instead of riding in an ambulance, sirens wailing, to the emergency room thanks to a pilot program Las Vegas Fire launched in Las Vegas. With more than two thirds of its roughly 600,000 annual calls being for medical assistance, the fire department was looking for ways to cut costs but not the …

Telemedicine Helps Reduce Overuse of Emergency Rooms—Could Urgent Care, Too?

A telemedicine ambulance triage system is helping to keep nonemergent cases out of the emergency room in Houston—perhaps indicating one more way urgent care could contribute to improving access to affordable, quality care for patients with non–life-threatening concerns. A briefing on Advisory Board notes that the city’s ED wait times were among the worst in the country 10 years ago, thanks to up to 50% of patients, in effect, seeking primary care in their local …

Help me understand…

JOHN SHUFELDT, MD, JD, MBA, FACEP lease don’t share this with anyone but truth be told, I love paramedics. I sometimes thought I had it bad (I really didn’t think that, but it makes the story better if I sound tragic) treating the myriad disenfranchised in an inner city ED until I talked with the paramedic who wrestled the feces-covered, bath salts and meth-using, naked, combative maniac who was my patient the previous night. (The …