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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Abstracts in Urgent Care – September 2022

Vapocoolant and Digital Nerve BlocksDosing Dexamethasone in Pediatric AsthmaInfant Clean-Catch Urine ContaminationAntibiotic-Associated Diarrhea in ChildrenTreating Acute DiverticulitisTorus Wrist Fractures in ChildrenEfficacy 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 reduction during digital nerve block: a randomized clinical trial. Am J Emerg Med. 2021;50: 260–263. Relevance: Patients commonly experience significant pain …
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Abstracts in Urgent Care – July/August 2022

Colchicine in Acute GoutPOCUS and Necrotizing FasciitisAssessing Patient SatisfactionMisinterpreting Pediatric RadiographsLung Ultrasound and Pediatric PneumoniaDiagnosing Pneumothorax A Review of the Evidence for Colchicine in Acute Gout Take-home point: Colchicine appears to be no more effective than NSAIDs for acute gout flares and evidence does not indicate greater efficacy at higher doses. Citation: Gottlieb M, Rabah W, Long B. Colchicine for acute gout. Acad Emerg Med. 2022;29(3):387-388. Epub ahead of print December 13, 2021. Relevance: Acute gout is a common presentation to urgent care. Colchicine has been used historically in treating …
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Abstracts in Urgent Care – June 2022

Maximizing the Value of Urine Dipstick TestingScreening for Intimate Partner ViolenceAntibiotics for Children with RTIAzithromycin in Pediatric Viral InfectionSelf-Monitoring BP with Unvalidated DevicesModified Valsalva Maneuver in SVTTo Mix or Not to Mix COVID-19 Vaccines? Ivan Koay, MBChB, FRNZCUC, MD Nitrofurantoin Resistance Take-home point: Proteeae group bacteria, which are often resistant to nitrofurantoin, normally result in alkaline (ie, high pH) urine on dipstick testing. Citation: Sheele J, Libertin C, Fink I, et al. Alkaline urine in the emergency department predicts nitrofurantoin resistance. J Emerg Med. 2022;62(3):368-377. Relevance: A potentiallyunderutilized data point …
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Abstracts in Urgent Care – May 2022

Immobilizing Ankle FracturesTreating Septic Olecranon BursitisEKG Interpretation: Human vs MachinepreHEART Score and Prehospital CareRethinking Otitis Media ManagementBoosters Limit Risk for COVID—but by How Much? Ivan Koay MBChB, FRNZCUC, MD Casting vs Bracing for Ankle Fractures Take-home point: Plaster casting was not superior to functional ankle bracing for certain ankle fractures. Citation: Kearney R, McKeown R, Parsons H, et al. Use of cast immobilisation versus removable brace in adults with an ankle fracture: multicentre randomised controlled trial. BMJ. 2021;374:n1506. Relevance: The management of fractures is an evolving discipline, steeped in dogma …
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