Abstracts

Validation of Clinical Predictive Rules in Pediatric Testicular Torsion Take Home Point: In this study, the Testicular Emergency Score for Torsion (TEST) identifies a larger group of patients at low risk for testicular torsion suitable for safe management without Doppler ultrasound compared to the other clinical validation scores. Citation: Valdivieso-Castro M, Vázquez-Gómez L, Olabarri M, et. al. Clinical Prediction Rules for Identifying Children With Testicular Torsion: A Multicenter Prospective Study. Pediatr Emerg Care. 2025 Aug 1;41(8):620-627 Relevance: Acute nontraumatic unilateral testicular pain is a common presentation to urgent care and/or …
Read More

Cannabis Use and Cardiovascular Outcomes in Adults Take Home Point: This study suggests that cannabis use has a strong, statistically significant association with adverse cardiovascular outcomes independent of tobacco use. Citation: Jeffers A, Glantz S, Byers A, et. al. Association of Cannabis Use With Cardiovascular Outcomes Among US Adults. J Am Heart Assoc. 2024 5;13(5):e030178. doi: 10.1161/JAHA.123.030178 Relevance: Animal studies have previously shown endothelial cell dysfunction, a precursor to endovascular disease, occurs with cannabis use. However, with increased cannabis use in recent years, it is unknown if a correlation exists …
Read More

Casting Rather Than Surgery for Medial Epicondyle Fractures in Children Take Home Point: In this randomized trial, treatment for pediatric displaced medial epicondyle fractures with casting alone was noninferior to the traditional surgical fixation and casting at the12-month follow-up period. Citation: Grahn P, Helenius I, Hämäläinen T, et. al. Casting vs Surgical Treatment of Children With Medial Epicondyle Fractures: A Randomized Clinical Trial. JAMA Netw Open. 2025 May 1;8(5):e258479. doi: 10.1001/jamanetworkopen.2025.8479. Relevance: Medial humeral epicondyle fractures account for 12-20% of all pediatric elbow fractures. There is currently no consensus regarding …
Read More

AI Performs Well in Virtual Urgent Care Visits Take Home Point: This study indicates that an artificial intelligence (AI) algorithm was better at adhering to clinical guidelines and identifying critical red flags during virtual urgent care (UC) consultations, while physicians were better at adapting recommendations to changing information obtained during a patient consultation. Citation: Zeltzer D, Kugler Z, Hayat L, et al. Comparison of Initial Artificial Intelligence (AI) and Final Physician Recommendations in AI-Assisted Virtual Urgent Care Visits. Ann Intern Med. 2025;178(4):498-506. doi:10.7326/ANNALS-24-03283 Relevance: This study focused on AI’s recommendations …
Read More

Can Doctors Predict Patient Outcome from a First Impression? Take Home Point: In this systematic review, the first impressions of “sick versus not sick” and appropriate patient disposition had reasonable predictive value for patient outcomes but was not sufficiently accurate to supplant thorough clinical assessment. Citation: Treloar E, Abraham A, Smith E, et. al. Can first impressions predict patient outcomes? Acad Emerg Med. 2025 Mar;32(3):351-354. doi: 10.1111/acem.15053. Relevance: In busy environments such as urgent care (UC) centers and emergency departments (EDs), quickly identifying patients needing more immediate attention is a …
Read More