Ashley Blachford, Author at Journal of Urgent Care Medicine

Major Adverse Cardiovascular Events in Patients with Chest Pain And Moderate Heart Risk Scores Who Were Referred For An Expedited Outpatient Cardiology Evaluation: A Multi-Center Descriptive Study

Urgent Message: Patients with a moderate-risk HEART score referred from an urgent care center for an expedited outpatient cardiology evaluation were found to have a very low rate of MACE and no occurrence of ischemic cardiac deaths. Citation: Thomson N, Barbarash S, Lebron-Gallagher D, Julson H, Weinstock M. Major Adverse Cardiovascular Events in Patients with Chest Pain And Moderate Heart Risk Scores Who Were Referred For An Expedited Outpatient Cardiology Evaluation: A Multi-Center Descriptive Study. …

Urgent Care Recognition and Management of Maisonneuve Fractures

Urgent Message: Clinicians should inquire about the mechanism of injury when a patient presents with ankle pain and consider x-ray that includes the ankle, tibia, and fibula to evaluate for the possibility of Maisonneuve fracture, especially when pain in the inferiolateral knee is also present. Willie O’Neal, MD; Bradley Strauch, MD Citation: O’Neal W, Strauch B. Urgent Care Recognition and Management of Maisonneuve Fractures. J Urgent Care Med. 2024; 18 (11): 21-28 Editor’s Note: While …

47-Year-Old With Right Hand Pain

A 47-year-old man presents to urgent care after trying out a new cardio boxing class at the local recreation center. He indicates that his right hand has been hurting ever since he hit a punching bag this morning, and the pain has been getting worse. X-rays are ordered, both anterior posterior (AP) and oblique views. Review the images and consider what your diagnosis and next steps would be. Resolution of the case is described on …

52-Year-Old With Palpitations

A 52-year-old male presents to urgent care complaining of palpitations. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Progressive Diaphyseal Dysplasia: A Case Report

Urgent Message: Progressive diaphyseal dysplasia, also known as Camurati-Engelmann disease, is a rare genetic disease that predominantly affects the bones. Clinicians who understand the manifestations of this disorder are better equipped to ensure appropriate management of disease flares and coordinate specialist follow-up. Swetha Gogu, DO, MPH; Sudhir Gogu, DO, PhD, MBA Citation: Gogu S, Gogu S. Progressive Diaphyseal Dysplasia: A Case Report. J Urgent Care Med. 2024; 18 (11): 34-37 Abstract Introduction: Camurati-Engelmann disease (CED), …

NPS Predicts Success in UC

The net promoter score (NPS) is a customer experience metric devised by business researcher Fred Reichheld, MBA, which measures how likely customers are to recommend a product or service on a scale of 0-10. His 2006 book, The Ultimate Question: Driving Good Profits and True Growth, describes NPS as the most predictive metric of a company’s future success. As a benchmark, NPS scores are reported on the world’s leading brands. A review of more than …

ED Visit Times Increase Slightly To 163 Minutes

In 2023, the median emergency department (ED) visit time among U.S. hospitals was 163 minutes, an increase of just 1 minute over the previous year, according to new data from the Centers for Medicare & Medicaid Services (CMS) as reported by Becker’s. The latest dataset covers ED visits recorded from October 2022 through September 2023. Delta Health System’s Medical Center in Greenville, Mississippi, tops the list of hospitals or health systems with the longest median …

ADHD Drug Shortage Overlaps With Back-To-School

Just as students are returning to classrooms, the ongoing shortage of attention deficit hyperactivity disorder (ADHD) drugs shows no signs of letting up. Many pharmacies have been out of stock, and manufacturers are not entirely caught up, according to Axios. In June, the Centers for Disease Control and Prevention also issued an advisory to warn patients about potential access issues after the arrest and fraud indictment of 2 executives from a digital health company that …

Ransomware Hacks Sold to Healthcare Cybercriminals

The Department of Health and Human Services’ cybersecurity center recently released an advisory about a “ransomware-as-a-service” group called Everest that is now focused on the $4 trillion healthcare industry. According to an emailed newsletter from the American Hospital Association, the group is known to access systems through compromised user accounts and remote access tools. The ransomware is designed to attack by initially gaining unauthorized access to an organization’s data through credential theft. The attacker then …

College Concierge Care Could Compete With UC

For those willing to pay extra for faster access to care and essentially more of the clinician’s time, concierge models can offer patients enhanced convenience and personal attention beyond the traditional 15-minute primary care office visit. Now concierge medicine programs are springing up on college campuses, according to Axios. Programs are no doubt marketed to nervous parents who worry about their child being away from home and who likewise may be concerned about the quality …

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