Abstracts in Urgent Care – February 2023

Quinolone Eardrops and the Achilles Tendon Antibiotics and Sepsis in Neonates What Temperature Is Too High in Infants? Patient Literacy with Medical Terms Screen Time for Concussed Children Oseltamivir in Children with Influenza Ivan Koay MBChB, MRCS, FRNZCUC, MD Quinolone Eardrops and Achilles Tendon-Related Outcomes Take-home point: Quinolone eardrops were associated with an increased risk of all-type tendon rupture, including Achilles tendon (AT), but not AT tendinitis. Citation: Tran P, Antonelli P and Winterstein A. Quinolone ear drops and Achilles tendon rupture. Clin Infect Dis. 2022; ciac709. Epub ahead of …
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Abstracts in Urgent Care – January 2023

Taping Plus Standard Care for Upper Body Injuries Yoga and Migraine The Challenge of the Limping Child Relieving the Pain of Renal Colic Exercise to Alleviate Lower Back Pain Does Familiarity Breed Higher Quality Care? Ivan Koay MBChB, MRCS, FRNZCUC, MD Kinesiology Taping for Shoulder and Chest Wall Injuries Take-home point: Kinesiologytaping (KT) combined with standard care appears to be more effective for acute pain reduction in patients with uncomplicated traumatic injury of the shoulder or chest wall. Citation: Bakker M, Bon V, Hubrechts B, et al. Kinesiotaping for acute …
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Abstracts in Urgent Care – December 2022

Assessing the Ottawa Ankle Rule in Pediatric Patients? Subconjunctival Hemorrhage in Children How Much Cardiac Risk Is Acceptable to Patients? Discharging Children with Abnormal Vital Signs Analgesia for Children in Casts Effects of Burnout in Healthcare Providers Cod Liver Oil + Vitamin D and COVID-19: Preventive Medicine or Snake Oil? Ivan Koay MBChB, MRCS, FRNZCUC, MD Applying the Ottawa Ankle Rule to Pediatric Patients Take-home point: Application of the Ottawa Ankle Rule (OAR) limits unnecessary imaging in children without missing clinically relevant fractures. Citation: de Almeida S, Rios J, Lima …
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Abstracts in Urgent Care November 2022

Fever: To Treat or Not to Treat?Distinguishing Viral from Bacterial ConjunctivitisScapular Fractures and Blunt Chest Trauma in ChildrenSterile vs Nonsterile Gloves for Laceration RepairBronchiolitis Care: An UpdateAntibiotic Stewardship and ChildrenPost Paxlovid Rebound Ivan Koay MBChB, FRNZCUC, MD What Are the Consequences of Treating Adult Fever? Take-home point: Fever therapy in adults does not seem to affect the risk of death and serious adverse events. Citation: Holgersson J, Ceric A, Sethi N, et al. Fever therapy in febrile adults: systematic review with meta-analyses and trial sequential analyses. BMJ. 2022;378:e069620. Relevance: This …
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Abstracts in Urgent Care - September 2022

Abstracts in Urgent Care – October 2022

Ivan Koay MBChB, FRNZCUC, MD Achilles Tendon RupturePredictive Value of Seamen’s SignPT and Meniscus TearsManaging ACS in Rural AreasFollowing Up on Radiology RecommendationsSyncope and Motor Vehicle Accidents Surgical vs Nonoperative Management of Achilles Tendon Rupture Take-home point: Surgery at 12 months postinjury was not associated with better outcomes compared with nonoperative treatment of Achilles tendon rupture. Citation: Myhrvold S, Brouwer E, Andersen T, et. al. Nonoperative or surgical treatment of acute Achilles tendon rupture. N Engl J Med. 2022;386(15):1409-1420. Relevance: Nonoperative approaches to treatment of rupture Achilles tendon have been …
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