Practice Management
A55-year-old female presents to urgent care with chest pain that started 1 hour prior. On exam, she appears diaphoretic with normal vital signs. View the initial ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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A 41-year-old male presents to urgent care following a slip-and-fall on a wet swimming pool surface. He complains of dorsal/posterior wrist pain. On exam you find soft tissue swelling of the posterior wrist. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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I don’t know about you, but I’m tired of being talked at about antibiotic stewardship. We all realize it’s a problem. And though it’s common practice to blame urgent care providers for the situation, we aren’t uniquely culpable for antibiotic overuse. To anyone paying attention, it’s clear that antibiotic overprescribing in urgent care remains as rampant as crime in Gotham City. And the topic has become exhausting for UC providers, not because we believe it …
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JUCM has been fortunate to be on the forefront of research on SARS-CoV-2, from a headline-making article entitled Chest X-Ray Findings in 636 Ambulatory Patients with COVID-19 Presenting to an Urgent Care Center: A Normal Chest X-Ray Is No Guarantee way back in May 2020 right through this issue. The latest COVID research article we’re pleased to present focuses on infection rates of influenza type A/B and COVID in a federal qualified healthcare center in …
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Urgent message: Mistaking medical symptoms for psychiatric disease can delay care and lead to adverse outcomes. Elizabeth Yeager-Cordial, MD; Janell Ison, DO; Robert Becker, MD; Courtney Boyd, MD; and Michael Weinstock, MD Citation: Yeager-Cordial E, Ison J, Becker R, Boyd C, Weinstock M. Psychiatric manifestations of organic disease: don’t get fooled! J Urgent Care Med. 2022;16(11):11-15. CASE PRESENTATION A 23-year-old man presented with a strange complaint: visual hallucinations. He had no psychiatric history and was …
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Urgent message: The angle of the mandible is one of the most common locations among bilateral mandibular fractures. Bilateral mandibular angle fractures are a rare traumatic event and often occur in the setting of panfacial fractures due to an impacting force. Chad E. Richmond, DO, DAOBFP; Leonard Powell, DO, MS, FACOFP, CMD; Keith S. Richmond, DMD, MDS. INTRODUCTION The mandibular angle is a weak zone that is more exposed to fractures than other areas of …
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Vapocoolant and Digital Nerve Blocks Dosing Dexamethasone in Pediatric Asthma Infant Clean-Catch Urine Contamination Antibiotic-Associated Diarrhea in Children Treating Acute Diverticulitis Torus Wrist Fractures in Children Efficacy of Antiviral Treatment in COVID-19 Vapocoolant for Pain Reduction in Digital Nerve Blocks Take-home point: Application of vapocoolant prior to digital nerve blocking can reduce pain associated with skin puncture and local anesthetic infiltration. Citation: Selvi F, Bedel C, Akçimen M. Evaluation of vapocoolant spray effect on pain …
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Urgent message: Using a data-driven approach to predict performance, taking advantage of openings in traditional retail spaces, or utilizing resources like BTS to develop a standalone center greatly improves a growing urgent care chain’s potential profitability and long-term brand success. Alan Ayers, MBA, MAcc is President of Experity Networks and is Senior Editor, Practice Management of The Journal of Urgent Care Medicine. A “stagnant business” is a “dead business” (or, in the words of former Notre …
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Urgent message: Influenza types A and B have demonstrated a pattern that increases patient volumes in urgent care centers during “flu season.” But the COVID-19 virus, including its different variants, continues to have different patterns throughout multiple waves and has shown to overcome/oppress other predictable viruses. Cesar Mora Jaramillo, MD, FAAFP, FCUCM Citation: Jaramillo CM. SARS-CoV-2 and influenza type A/B Infection rates: a report of a federal qualified health care center-urgent care department during Omicron …
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Many patients don’t think about “urgent care” until the moment they need treatment. Likewise, few people think of urgent care when considering a routine check-up at the doctor’s office. Perhaps it’s time for that to change. The main demographic served by urgent care consists of “working age” adults, 24-54, and their families. Historically, these patients lack a primary care provider (PCP). Whereas children have a pediatrician and seniors in a Medicare plan are likely served …
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