Ashley Blachford, Author at Journal of Urgent Care Medicine

Use Virtual Care for Tonsillitis Triage, Not Treatment

Virtual appointments may not be the ideal channel for leveraging the Centor Criteria for tonsillitis, which calls for a clinician to check a patient for fever as well as tender and swollen lymph nodes. A cross-sectional study of 189 patients published in Infectious Diseases, analyzed digital assessments in comparison to physical examinations when used to determine clinical recommendations for treatment of tonsillitis. The study included 3 urgent care clinics and 6 primary care practices in …

Flu Vaccine More Than 55% Effective in Recent Years

The effectiveness of the seasonal influenza vaccine for kids was more than 55% during the respiratory virus seasons from November 2015 to April 2020, according to a study in JAMA Network Open. The 15,728 US children ages 6 months to 17 years who were studied realized protection against emergency department (ED) visits or hospitalization with at least 1 dose of the vaccine. No difference in estimated effectiveness was observed based on varying levels of flu …

Racial Bias May Influence Identification of Potential Child Abuse

Most healthcare workers use vigilance when treating children with injuries that could signal a potential case of child abuse, but bias can influence perception. According to a study published in JAMA Network Open, Black children hospitalized for traumatic injuries are more likely to be suspected of having experienced possible child abuse than White children. When examining data for 634,309 pediatric patients, researchers demonstrated 75% greater odds of suspicion for child abuse for Black patients and …

Severe H5N1 Avian Influenza Case Shows Mutations After Infection

In mid-December, a case of H5N1 (avian influenza) in Louisiana was reported as the first instance of severe illness linked to the virus in the United States. The Centers for Disease Control and Prevention (CDC) has now sequenced the H5N1 virus in specimens collected from the patient in Louisiana who became severely ill and compared them to other H5N1 sequences from dairy cows, birds, poultry, and previous human cases. After studying this genetic analysis, researchers …

Americans: US Healthcare System Is Worse Than Ever

Americans have given the US healthcare system a record-low quality rating, while 70% of respondents in a national survey also believe that the healthcare system at large has major problems or is in a state of crisis, according to a recent Gallup poll of more than 1,000 adults. Sentiment is now at its lowest point since the polling organization began monitoring opinions on the topic in 2001. The percentage of those who say the quality …

Reimagining Retail Pharmacy as Major Chains Downsize Offerings

Urgent Message: As retail pharmacies reinvent themselves, urgent care has an opportunity to grow within the shifting market dynamic. Alan A. Ayers, MBA, MAcc, is President of Urgent Care Consultants and Senior Editor of JUCM: The Journal of Urgent Care Medicine. Citation: Ayers AA. Reimagining Retail Pharmacy as Major Chains Downsize Offerings. J Urgent Care Med. 2025 19(4)43-47. Retail pharmacies are at a crossroads. Once the go-to destination for prescriptions and over-the-counter health/beauty merchandise, major …

A 2-Year-Old Girl With Respiratory Distress And Altered Mental Status: A Case Report

Urgent Message: While children presenting to urgent care centers usually have minor illnesses, attentiveness to vital signs and behavior is crucial to avoid missing rare but serious diagnoses. Diabetic ketoacidosis is the most common initial presentation of type 1 diabetes mellitus in young children. Capillary blood glucose measurement is a universally available screening tool that should be used liberally in ill-appearing children with alterations in level of consciousness. Ramiro Rodriguez, MD; Samantha Reis, MSN, FNP-BC, …

Urgent Care Considerations for the Patient with Suspected Rib Fracture

Urgent Message: Rib fractures most commonly occur after blunt chest injury. Consider serious associated injuries such as pneumothorax, hemothorax, and pulmonary contusion when assessing patients with suspected rib fractures. Ensuring appropriate analgesia is critical for reducing the risk of complications. Dustin M. Nelson, BS; Shering Torres, MAS, MD; Michael Weinstock, MD Citation: Nelson DM, Torres S, Weinstock M. Urgent Care Considerations for the Patient with Suspected Rib Fracture. J Urgent Care Med. 2025; 19(4): 13-21 …

Uncovering the Unexpected: A Case of Chronic Cough in an Adolescent with an Unusual Etiology

Urgent Message: Chronic cough has a distinct differential diagnosis in different age groups. A cough lasting longer than 4 weeks in children and adolescents should prompt revision of the differential diagnosis to reduce delays in diagnosing serious etiologies. Daniel Moscato, MS, PA-C; Joshua W. Russell, MD Citation: Moscato D, Russell JW. Uncovering the Unexpected: A Case of Chronic Cough in an Adolescent with an Unusual Etiology. J Urgent Care Med. 2025; 19(4)23-26. Key words: Pediatrics, …

Comparing Outcomes for Outpatients Treated With Cephalexin for Uncomplicated Cystitis: Is QID Dosing Necessary?

Urgent Message: Patients commonly seek unscheduled care for urinary tract infections (UTIs). Cephalexin is among the most frequently prescribed antibiotics for acute UTI treatment, however, dosing regimens lack standardization. In this small observational study, similar rates of clinical cure and adherence were observed with cephalexin 500 mg dosed every 12 hours vs every 6 hours in patients with cystitis, calling into question whether QID (4 times per day) dosing is necessary. Cassandra Lopane, PharmD; Erica …

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