
Abstracts in Urgent Care – June 2023
Click Here to download the article PDF Ivan Koay MBChB, MRCS, FRNZCUC, MD Employing Virtual Reality with Anxious Children Assessing for Elbow Fracture Epinephrine for Croup (?) The STANDING Algorithm for Vertigo Postconcussion Return to School Managing Epistaxis in the UC Immersive Virtual Reality Use in Reducing Pediatric Procedural Anxiety Take-home point: Immersive virtual reality (IVR) use in pediatric patients significantly improved pain and anxiety compared with the control group. Citation: Wong C, Choi K. Effects of an immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing …
Read More
Read More

Abstracts in Urgent Care – May 2023
Click Here to download the PDF Telltale Signs of Testicular Torsion Preventing RSV in Young Patients Lactational Mastitis Cephalexin in Cellulitis Understanding Pain in Children Post-COVID Smell Dysfunction Does My Patient Have a Testicular Torsion? Take-home point: Symptoms most suggestive for testicular torsion (TT) are adolescent/pubertal age, palpated hard testicle, and the presence of nausea and vomiting associated with acute scrotal pain. Citation: Lukosiute-Urboniene A, Nekrosius D, Dekeryte I, et al. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Emerg Med …
Read More
Read More

Abstracts in Urgent Care – April 2023
Responsible Antibiotic Use in SSTIs Assessing for and Managing Head Lice Infestation Safe Discharge of Chest Pain Patients Digital Rectal Exam in Trauma Evaluation Tele-Exam in Pediatric Urgent Care Reducing Admissions for Croup Molnupiravir to Treat COVID-19 in Vaccinated Adults Ivan Koay MBChB, MRCS, FRNZCUC, MD Clinician Training to Optimize Antibiotic Choice and Duration for Uncomplicated Skin/Soft Tissue Infections Take-home point: Maintenance of certification (MOC) project participation was associated with improvement in evidence-based practice and was sustained after the intervention period. Citation: Wiltrakis S, Jaggi P, Lu L, et al …
Read More
Read More
Abstracts in Urgent Care – March 2023
Accuracy of Dipsticks in Diagnosing Infant UTIs Vestibular Suppressants and Vertigo Management of Sudden-Onset Headaches: New Questions Hemorrhage in Elderly Patients on Anticoagulation Detecting Skull Fractures in Children An Approach to Episodic Wheezing in Children Ivan Koay MBChB, MRCS, FRNZCUC, MD Are Urine Dipsticks Accurate in Diagnosing UTIs in Infants? Take-home point: Point-of-care (POC) urinalysis (ie, urine dipstick) is moderately sensitive and highly specific for diagnosing urinary tract infection in febrile infants. The optimum cut-point for excluding UTI is leucocytes (1+), and the optimum cut-point for confirming UTI is nitrites …
Read More
Read More
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 …
Read More
Read More