Journal of Urgent Care Medicine

Abstracts in Urgent Care – June 2024

Using AI to Detect Myocardial Infarction Take Home Point: The use of an occlusive myocardial infarction (OMI) artificial intelligence (AI) electrocardiogram (ECG) model has the potential to improve identification of acute coronary syndrome (ACS) by enabling timely and accurate detection of OMI regardless of the presence ST-segment elevation. Citation: Herman R, Meyers H, Smith S, et. al. International evaluation of an artificial intelligence-powered electrocardiogram model detecting acute coronary occlusion myocardial infarction. Eur Heart J Digit …

Abstracts in Urgent Care – May 2024

Encouraging Shorter Course Antibiotic Prescribing Take Home Point: In this quality improvement project, both education with performance feedback in combination with clinical decision support (CDS) were effective in modifying clinician behavior surrounding antibiotic prescribing. Citation: Vernacchio L, Hatoun J, Patane L, et al. Improving Short Course Treatment of Pediatric Infections: A Randomized Quality Improvement Trial. Pediatrics.2024;153(2): e2023063691 Relevance: There is increasing evidence that shorter courses of antibiotics for the treatment of pediatric pneumonias (CAP) and …

Abstracts in Urgent Care – April 2024

Rehabilitation in Post-Acute Anterior Shoulder Dislocation Take Home Point: This study suggests that routinely referring patients to a program of physical therapy is not superior to a single session of advice, supporting materials, and option to self-refer to physical therapy. Citation: Kearney R, Ellard D, Parsons H, et. al. Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial. BMJ. 2024 Jan 17:384: e076925. doi: 10.1136/bmj-2023-076925. Relevance: Shoulder dislocations commonly present to …

Abstracts in Urgent Care – March 2024

Omicron versus Flu & RSV – Which is Most Dangerous for Children? Take Home Point: In this study, hospitalization rates were highest for patients with RSV than Omicron (COVID-19) in all age groups of children. Citation: Hedberg P, Abdel-Halem L, Valik J, et. al. Outcomes of Pediatric SARS-CoV-2 Omicron Infection vs Influenza and Respiratory Syncytial Virus Infections. JAMA Pediatr. 2023 Dec 26: e235734. doi: 10.1001/jamapediatrics.2023.5734 Relevance: With increasing availability for respiratory pathogen testing, it is …

Abstracts in Urgent Care – February 2024

Predicting Which Patients Need an X-Ray Before Attempting Shoulder Reduction Take Home Point: In this study, the Fresno-Québec Rule showed excellent sensitivity in identifying concomitant clinically significant fractures in patients with anterior shoulder dislocations. Citation: Benhamed A, Bonnet M, Miossec A, et. al. Performance of the Fresno-Quebec Rule in identifying patients with concomitant fractures not requiring a radiograph before shoulder dislocation reduction: a multicenter retrospective cohort study. Eur J Emerg Med. 2023 Dec 1;30(6):438-444. doi: …

Abstracts in Urgent Care January 2024

Can Artificial Intelligence Be Used as a Behavioral Health Tool for Adolescents? Take Home Point: Conversational Artificial Intelligence (CAI) may have potential as a tool to help address the unmet needs of adolescent behavioral health treatment. Citation: Opel D, Kious B, Cohen I. AI as a Mental Health Therapist for Adolescents. JAMA Pediatr. doi:10.1001/jamapediatrics.2023.4215 Relevance: Mental health issues among adolescents have been rapidly increasing in prevalence. The increasing need for adolescent mental healthcare has led …

Abstracts in Urgent Care December 2023

Blood Pressure Monitoring—Cuff Size Matters Take Home Point: The use of an inaccurately sized automated blood pressure (BP) cuff resulted in significantly inaccurate BP readings. Citation: Ishigami J, Charleston J, Miller E, et. al. Effects of Cuff Size on the Accuracy of Blood Pressure Readings: The Cuff(SZ) Randomized Crossover Trial. JAMA Intern Med. 2023 Oct 1;183(10):1061-1068. doi: 10.1001/jamainternmed.2023.3264. Relevance: Chronic hypertension is a leading cause of cardiovascular and cerebrovascular morbidity and mortality, and accurate measurement …

Abstracts in Urgent Care November 2023

What Should We Do with the Nail? Nailbed Repair in Children Take Home Point: After nail bed repair, discarding the fingernail was associated with similar rates of infection and similar cosmetic outcomes compared to replacement of the fingernail. Citation: Jain A, Grieg A, Jones A, et al. Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial. BJS, 2023, 110, 432–438 https://doi.org/10.1093/bjs/znad031 Relevance: Procedures for nail bed …

Abstracts in Urgent Care – October 2023

Which Sample is More Accurate for STIs: Vaginal or Urine? Take Home Point: Vaginal swabs are the optimal sample type for women being evaluated for chlamydia, gonorrhea, and/or trichomoniasis. Citation: Aaron K, Griner S, Footman A, et. al. Vaginal Swab vs Urine for Detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis: A Meta-Analysis Ann Fam Med. 2023 Mar-Apr;21(2):172-179. doi: 10.1370/afm.2942 Relevance: Many sexually transmitted infections (STI) are asymptomatic in women and can have serious …

Abstracts in Urgent Care – September 2023

How Long Should We Prescribe Antibiotics for Pediatric UTI? Take-Home Point: Children receiving 5 days of antibiotics for urinary tract infection (UTI) had a higher rate of treatment failure that children receiving 10-day courses. However, absolute treatment failure rates were low in both groups. Citation: Zaoutis T, Shaikh N, Fisher B, et. al. Short-Course Therapy for Urinary Tract Infections in Children: The SCOUT Randomized Clinical Trial. JAMA Pediatr. 2023 Jun 26; e231979. Relevance: There have …