Journal of Urgent Care Medicine

Practice Management

 

Urgent Care Provider Awareness of the Canadian Computed Tomography Head Rule: A Descriptive Cross-Sectional Survey Study

By Ashley Blachford  /  November 30, 2020
Urgent message: As visits to urgent care after possible traumatic brain injury continue to rise, so does the importance of…
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Urgent Care Provider Awareness of the Canadian Computed Tomography Head Rule: A Descriptive Cross-Sectional Survey Study

The Hazards of Independent Contractor/Employee Misclassification

By Ashley Blachford  /  October 1, 2020
Urgent message: There are serious and costly consequences for misclassifying employees as independent contractors, even if the employee requests or…
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The Hazards of Independent Contractor/Employee Misclassification

Employer COVID-19 Testing Needs are Not Fully Met; Rapid Testing is an Unprecedented Opportunity for Urgent Care

By Ashley Blachford  /  November 24, 2020
Urgent message: The critical role of rapid COVID-19 testing in keeping Americans working presents a unique, time-limited opportunity for urgent…
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Employer COVID-19 Testing Needs are Not Fully Met; Rapid Testing is an Unprecedented Opportunity for Urgent Care

Left Eye Pain in an Overall Healthy 19-Year-old Female

By Ashley Blachford  /  November 30, 2020
Urgent message: Eye pain is a common presentation to the urgent care clinic. A provider needs to be able to…
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Left Eye Pain in an Overall Healthy 19-Year-old Female

A 10-Year-Old Male with Knee Pain After a Football Game

By Ashley Blachford  /  November 17, 2020
The patient is a 10-year-old boy who presents with pain in his right knee after twisting his leg during a…
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A 10-Year-Old Male with Knee Pain After a Football Game

Urgent Care News

Should PrEP Be Part of the Discussion When Patients Present with Suspected STIs? One Urgent Care Operator Thinks So

Patients who are concerned they may have contracted a sexually transmitted infection may favor urgent …
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Be Aware: Hoping to Head Off a Twindemic, FDA Has Approved a ‘New’ Drug to Prevent Flu

Baloxavir marboxil (Xofluza) was approved to help patients in the early stages of influenza infection …
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Most Asthma Patients Don’t Receive Guideline-Directed Therapy in the ED; Can You Do Better?

Less than 6% of patients who present to the emergency room with an exacerbation of …
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Urgent Care Provider Awareness of the Canadian Computed Tomography Head Rule: A Descriptive Cross-Sectional Survey Study

Urgent message: As visits to urgent care after possible traumatic brain injury continue to rise, …
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Necessity (or Not) for Patient Transfer from Urgent Care to the ED Following Traumatic Brain Injury

Urgent message: With patients who have sustained head injuries related to both sports- and non–sports-related …
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Web Exclusive Articles

Employer COVID-19 Testing Needs are Not Fully Met; Rapid Testing is an Unprecedented Opportunity for Urgent Care

Urgent message: The critical role of rapid COVID-19 testing in keeping Americans working presents a …
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The COVID-19 Pandemic Is Making Burnout Worse for Physicians Already in Crisis

Urgent message: For several years, JUCM has reported on the national crisis of “provider burnout.” …
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The Role of Aseptic Technique During Repair of Traumatic Lacerations in the Urgent Care Center

Urgent message: The goal for urgent care clinicians tasked with treating patients presenting with traumatic …
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Best Practices for LGBTQ-Friendly Care in Urgent Care

Urgent message: LGBTQ individuals are subject to implicit and explicit biases in our society, ranging …
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How to Protect Your Urgent Care’s Reputation from Online Trolls and Social Media Terrorists

Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is …
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Clinical Articles

Urgent Care Provider Awareness of the Canadian Computed Tomography Head Rule: A Descriptive Cross-Sectional Survey Study

Urgent message: As visits to urgent care after possible traumatic brain injury continue to rise, so does the importance of …
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Necessity (or Not) for Patient Transfer from Urgent Care to the ED Following Traumatic Brain Injury

Urgent message: With patients who have sustained head injuries related to both sports- and non–sports-related activities presenting to urgent care …
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Streptococcal Pharyngitis and Its Sidekicks: Common and Uncommon Etiologies

Urgent message: Pharyngitis is a common chief complaint in urgent care, but not all sore throats are streptococcal (strep) pharyngitis …
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Antibiotic Stewardship in Pediatric Acute Otitis Media—Pearls and Pitfalls

Urgent message: Acute otitis media (AOM) is the leading diagnosis for antibiotic prescribing in pediatric patients. As antibiotic stewardship becomes …
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Practice Management Articles

The Hazards of Independent Contractor/Employee Misclassification

Urgent message: There are serious and costly consequences for misclassifying employees as independent contractors, even if the employee requests or …
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That’s Not What Happened! How to Deal with Gaslighting in the Workplace

Urgent message: Similar to workplace bullying, sexual harassment, and toxic gossip, gaslighting behaviors result in demoralized workplace cultures, lost business …
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Is Four Times a Charm for Walmart (or, Could Walmart Be a Threat to Urgent Care)?

Urgent message: It’s important for urgent care to watch and learn from Walmart, which has engaged leading retail and strategic …
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To Appeal to Millennials, You Need a Purpose

Urgent message: A sense of “purpose” is the primary motivator for many employees—even beyond compensation and benefits. That’s why successful …
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Insights in Images Challenges

A 52-Year-Old Male with Upper Arm Pain and Swelling of No Known Origin

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A 35-Year-Old Man with Shoulder Pain Weeks After a Car Accident

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A 48-Year-Old Female with Months of Fatigue, Nausea, and Body Aches—Including Chest Pain

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A 46-Year-Old Man with ‘Burning’ Epigastric Pain of Several Hours Duration

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A 24-Year-Old Man with Excessively Odorous and Itchy feet

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A 33-Year-Old Woman with Blanching on Her Lower Legs

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JUCM CAREER CENTER

Download Past Issues

December 2020 : mTBI: Split-Second Decisions Could Have a Lifetime of Consequences

VIEW ISSUES ARCHIVE

CASE REPORTS

Left Eye Pain in an Overall Healthy 19-Year-old Female

Urgent message: Eye pain is a common presentation to the urgent care clinic. A provider needs …
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A 69-Year-Old Female with Hypertension, Dyslipidemia, and a Constellation of Otolaryngologic Symptoms

Urgent message: Epiglottitis is classically viewed as a pediatric disease, but has become increasingly common in …
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A New-Onset, Suspicious Skin Lesion

Urgent message: Patients and providers alike may be inclined to eliminate possible diagnoses based on first …
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Cannabis-Associated Myocardial Infarction in a Young Woman Without Other Cardiac Risk Factors

Urgent message: A growing body of evidence suggests increased cardiovascular risk with frequent cannabis use. With …
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Foraged Mushroom Toxicity Presenting to Urgent Care with Acute Kidney Injury

Urgent message: Though it occurs relatively rarely, mushroom toxicity can result in irreversible organ damage and, …
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HEALTH LAW

New Lawsuits Re-examine Prescribing of PrEP in Urgent Care

Urgent message: Urgent care providers should take note of emerging class-action lawsuits when helping patients decide …
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Can Employers Mandate the COVID-19 Vaccine?

Urgent message: Based on precedent, urgent care operators and other employers can mandate the COVID-19 vaccine …
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Does the OSHA General Duty Clause Encompass Psychological or Emotional Injury?

Urgent message: Despite tort law and emerging workplace policies validating how sexual harassment, workplace bullying, and …
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What are The Legal Remedies to Stop Cyberstalking of Your Urgent Care Center?

Urgent message: Social media provides a platform in which patients, who perceive they’re relatively anonymous, can …
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When Can an Urgent Care Legally ‘Fire’ a Patient?

Urgent message: In light of increasingly frequent reports of urgent care centers “firing” patients for various …
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CLINICAL CHALLENGES

A 24-Year-Old Man with Excessively Odorous and Itchy feet

The patient is a 24-year-old man who presents with excessive foot odor that he describes as “worse than anything I …
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A 48-Year-Old Female with Months of Fatigue, Nausea, and Body Aches—Including Chest Pain

The patients is a 48-year-old female with a family history of breast cancer who complains of 2 months of fatigue, …
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A 52-Year-Old Male with Upper Arm Pain and Swelling of No Known Origin

The patient is a 52-year-old male who presents with a chief complaint of 1 month of right shoulder pain. View …
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A 33-Year-Old Woman with Blanching on Her Lower Legs

A 33-year-old woman presents to urgent care with symmetrical multiple blanching nodules that developed on her lower legs over the …
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A 46-Year-Old Man with ‘Burning’ Epigastric Pain of Several Hours Duration

The patient is a 46-year-old male who presents epigastric pain that started several hours ago after a large meal. He …
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OCCUPATIONAL MEDICINE

Occ Med Providers Take Note: Valid or Not, Lawsuits Against Employers Over COVID-19 Spread Are Inevitable

Just recently, a woman in Illinois filed what is thought to be the first COVID-19-related wrongful death suit against an …
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Can Urgent Care Be the Solution to Reduce COVID-19 Spread in High-Risk Environments?

The risks of heading off to work on site during the COVID-19 pandemic vary greatly according to the nature of …
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Not Up to Speed on New Workplace Protections? Then Neither Are Your Occ Med Clients!

Virginia just joined a short list of states that are enacting legislation to help protect workers from exposure to COVID-19 …
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Occupational Medicine Clients Need You Now More Than Ever. Can You Step Up?

The intersection of wellness and the ability to work has never been more precarious than it is today. More and …
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Could Pool Sampling Ease the Burden on Your Occ Med Customers? We May Find Out Soon

One of the vexing issues employers are facing is how to welcome workers back to their jobs without subjecting them …
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Revenue Cycle Management

What’s New for RCM? Updates on Coding for COVID-19 Testing

As lab testing for COVID-19 continues to evolve, new products—and new CPT codes—continue to emerge. The latest tests combine COVID-19 …
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Looking Forward to 2021

2020 has been a rough year for all of us, and everybody is eagerly awaiting 2021. One thing for urgent …
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To Flu or Not to Flu

It’s flu season again and this year patients have two viruses to worry about: COVID-19 and influenza. Now is the …
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What’s New for ICD-10 in 2021?

It’s that time of year again. On October 1, 2020, the annual update to ICD-10 codes goes into effective. Just …
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Clearing Up the Confusion in COVID-19 Testing

There are so many options available for coronavirus disease 2019 (COVID-19) testing. How do you know what test is best …
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DEVELOPING DATA

2020 Be Remembered for—Beyond the Obvious?

If you surveyed Google data for 2020, you’d probably find that some of the most oft-used terms of the year …
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Turning Back the Tide of Antibiotic Resistance, One (Unfilled) Prescription at a Time

According to JUCM’s own chart research, antibiotics are the most-prescribed class of medications in urgent care. This is not surprising, …
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MIS-C: What to Look for—and the Consequences of Missing It

At the outset of the COVID-19 pandemic, it appeared that children were somehow less susceptible to becoming infected and, if …
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Left on the Bench at the Start of the Pandemic, Urgent Care Rebounds in a Big Way

If you worked in an urgent care center located anywhere but a major urban hotspot at the outset of the …
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Visits to Primary Care Are Down—While Visits to Urgent Care Are on the Rise

Cost, convenience, and quality are features healthcare consumers cherish. The challenge for healthcare consumers is to find a facility that …
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Abstracts in Urgent Care

Abstracts in Urgent Care – December 2020

Projecting Outcomes in mTBIConcussion Recovery in AthletesA New Tool in Assessing Adolescent ConcussionHead Injury in Patients Taking WarfarinInfants with Scalp …
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Abstracts in Urgent Care November 2020

Antibiotics (or Not?) for Dog BitesScaring the Quest for Antibiotics Out of PatientsPost-Op Antibiotics in Complex AppendicitisHow Long Should Sepsis …
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Abstracts in Urgent Care – October 2020

Ethnic Background Matters in ECG EvaluationLean on Risk Stratification Tools in Chest PainLasting Effects of Headache in ChildrenTrauma and Childhood …
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Abstracts in Urgent Care – October 2020 (PUCC)

Spotlight on Original Research in Pediatric Urgent Care: Excerpts from the 2020 Pediatric Urgent Care Conference (PUCC). Los Angeles, CA …
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Abstracts in Urgent Care – September 2020

Seasoned Eyes and ECGs Comparing ACS Decision Tools Does TMACS Stack Up? Cluing Patients in on Chest Pain Gender Differences …
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LETTER FROM THE EDITOR-IN-CHIEF

Don’t Forget about the Road Behind

If you’re reading this, you’ve survived 2020. Congratulations!—although it probably doesn’t feel like there’s much success to revel in at …
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Opportunity is Knocking. Do you hear it?

It is not the strongest species that survive, nor the most intelligent, but the most responsive to change. – Charles …
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Stories Speak Louder Than Statistics

After the vivid video of the wrongful death of George Floyd went viral in late May, millions of people of …
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The Time for Urgent Care Clinicians to Embrace Bedside Ultrasound is Here

Ultrasound captured me from the start. It happened during a night shift on my emergency medicine clerkship at Hurley Hospital …
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This Was Their Finest Hour

1940 was a particularly hopeless year in Great Britain. Having easily conquered France and signed a temporary treaty with the …
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