Slider Category

Urgent message: Given the ubiquity of smartphones and other mobile devices, urgent care operators must have a strategy and policy in place to deal with the privacy implications of personal technologies in the workplace. Mobile devices like tablets and smartphones have become ubiquitous in everyday life, and employers in every industry are increasingly seeing employees access their devices throughout the workday. While concerns over lost productivity should concern all employers, healthcare is unique in the added risks associated with patient privacy and personal health information (PHI). There are numerous waysRead More
Urgent message: It is common for patients with injuries to the upper extremity due to falls on outstretched hands to present to urgent care. As such, evaluation, appropriate imaging, and initial treatment should all be within a clinic’s capabilities.  Michael Bartuseck, MSN, ARNP, FNP-C, EP-C Introduction Urgent cares centers play an integral role in providing care for patients who have sustained injuries due to falls on outstretched hands (FOOSH). While complex anatomy of the wrist, hand, and elbow often lead to confusion and misdiagnosis of FOOSH injuries, the high prevalenceRead More

Posted On February 1, 2018By Stuart WilliamsIn Case Reports, Slider

Neck Rash on a 21-year-old Male

Urgent message: Acanthosis nigricans has a strong association with obesity and insulin resistance. Assessment involves a thorough physical exam to differentiate from other dermatosis, as well as full workup for insulin resistance. Early diagnosis in the urgent care setting, and treatment, will improve the appearance of acanthosis nigricans, but also the patient’s overall morbidity. Shailendra Saxena, MD, PhD and Bao Chau Nguyen, BS Introduction A 21-year-old Caucasian male presented for a circumferential hyperpigmented rash around the neck that began several months ago. History Past medical history was significant for morbidRead More

Posted On January 23, 2018By Stuart WilliamsIn Slider, Web Exclusive

Retaining and Developing Your Best Employees

Urgent message: An urgent care operation’s success is determined greatly by the quality of its workforce. Consequently, in increasingly competitive labor markets, urgent care operators need to invest in their strongest employees to get them to stay. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. While we often point to location, marketing, systems, and other “success factors” in urgent care, it’s no secret that your employees play an outsized role in how wellRead More

Posted On January 9, 2018By Stuart WilliamsIn Slider, Web Exclusive

A Candid Look at Physician Misconduct

Urgent message: Physicians are expected to be leaders in the urgent care practice, but they are also human and prone to inappropriate behavior. It’s thus critical for urgent care operators to establish processes for investigating, documenting, and responding to allegations of physician misconduct. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. On any given day, there is no single person in an urgent care operation as influential as the physician. The physician, sometimesRead More
Urgent message: Treating preverbal children can be challenging under every-day circumstances for pediatricians who know the child and the family. Urgent care providers who may not have the benefit of that history must be especially vigilant for all available signs and symptoms to make diagnoses based on the full scope of the presentation. Michael Weinstock, MD Case Presentation (Please note: The Case Presentation is drawn directly from the treating physician’s notes, without editing or correction, to reflect the conditions at the time of presentation.) 5 month old male with multipleRead More

Posted On January 1, 2018By Stuart WilliamsIn Clinical, Clinical Articles, Slider

Urgent Care Evaluation of Arrhythmias

Urgent message: Initial evaluation of a patient with an arrhythmia in the urgent care setting can be as difficult as it is critical to the patient’s survival—one key concern being sudden cardiac death, which occurs in roughly 328,000 cases annually.  Riaz Fabian, DO  Introduction Cardiac arrhythmias are a group of conditions in which a patient has an abnormal heart rate or rhythm. They are caused by any disruption of the electrical conduction system of the heart, which impacts the normal activation sequence of the myocardium. Arrhythmias can be broadly classifiedRead More
Urgent message: Spurred by disruptive market entrants and burgeoning consumerism, health systems are increasingly adopting retail principles to better meet consumers’ shifting expectations. Thus, urgent care stakeholders, either as standalone operators or partners with a hospital/health system, must further expand upon their retail offerings in order to fend off increased competition. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Practice Velocity, LLC and is Practice Management Editor of The Journal of Urgent Care Medicine. Healthcare in the U.S. is undergoing a number of dramatic changes, oneRead More
Urgent message: The difference between being a “business owner” and “just an employee” is the personal degree of investment one has in his or her organization. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care and is Practice Management Editor of The Journal of Urgent Care Medicine. What differentiates an “outstanding” from a “mediocre” employee? While factors like dependability, attention to detail, and pleasant demeanor might be the first come to mind—these are basic traits that should be demonstrated by all members of an urgent careRead More

Posted On December 1, 2017By Stuart WilliamsIn Case Reports, Slider

Boerhaave Syndrome in a 41-Year-Old Female

Urgent message: While Boerhaave syndrome is a rare finding, a relatively high number of cases may present in the urgent care setting. As such, awareness of and vigilance for related symptoms are essential to taking a proper history and, ultimately, early diagnosis of acute, subacute, or chronic Boerhaave syndrome.  John Shufeldt, MD, MBA, JD, FACEP, Amber Hawkins, and Carli Nichta, MS4   Introduction Boerhaave syndrome is a spontaneous esophageal rupture indicated in some cases by Mackler’s triad: subcutaneous emphysema, vomiting, and lower chest pain. Early diagnosis is critical for positiveRead More