Take a Seat—Your Patients Will Thank You Buddy Taping vs Plaster Casting in Boxer’s Fractures Efficacy of Baclofen in Back Pain Rapid Testing for Gonorrhea and Chlamydia Five- vs 10-day Treatment for Strep Throat A Better Screening Test for ACL Rupture Yijung Russell, MD Sitting During an Encounter Is an Easy Way to Increase Patient Satisfaction Key Point: If a provider sits during an encounter, the patient feels that they care more, listen more, inform …
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Abstracts in Urgent Care Medicine
Topical TXA vs Merocel in anterior epistaxis Cool Running Water Reduces Need For Skin Graft In Pediatric Burns Efficacy Oral Ibuprofen at Various Doses for Short-Term Pain Relief Do Patients Know What Fracture Means? Tramadol’s Numerous Adverse Drug Reactions Recurrent Febrile Seizures Increase Morbidity And Mortality Yijung Russell, MD Topical TXA Is as Effective as Merocel in Stopping Anterior Epistaxis Key point: Atomized TXA with nasal compression is as effective as Merocel in stopping anterior …
Read MoreAbstracts in Urgent Care – January 2020
The FDA on Cannabidiol Improving Diagnosis of Cluster Headache Making Tympanostomy Tube Placement Office-Friendly Nothing to Fear from NDMA? Counseling Patients on Preventing Cardiovascular Disease FDA Delves Deeper into Use of CBD Products Key point: The FDA is working to answer questions about the science, safety, and quality of products containing cannabis and cannabis-derived compounds, particularly CBD. Citation: U.S. Food & Drug Administration. What you need to know (and what we’re working to find out) …
Read MoreAbstracts in Urgent Care-December
More Advice on Inquiring About—and Assessing—Vaping and EVALI Key points: Citation: Siegel DA, Jatlaoui TC, Koumans EH, et al. Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use Associated Lung Injury—United States, October 2019.  MMWR Morb Mortal Wkly Rep. 2019;68:919–927. Key point: Physicians should inquire about e-cig or vaping use in a nonjudgemental but thorough manner. Ask about specific products, frequency, and associated drug use. …
Read MoreAbstracts in Urgent Care-November
What’s New in Flu Vaccine Information New First-In-Class Pleuromutilin Antibiotic for CAP Abdominal Pain in Patients with IUDs—Watch Out for Ectopic Pregnancy Cancer-Causing Chemical Found in Ranitidine Measles Cases and Outbreaks Cooling Pediatric Burns Occ Med: Severe Silicosis in Stone Fabrication Workers  An Update on Vaccine the 2019-2020 Flu Season Key points: The CDC recommends annual influenza vaccination for everyone 6 months of age and older, with any licensed influenza vaccine that is appropriate …
Read MoreAbstracts in Urgent Care-November 2019
An Update on Vaccine the 2019-2020 Flu Season Key points: The CDC recommends annual influenza vaccination for everyone 6 months of age and older, with any licensed influenza vaccine that is appropriate for the recipient’s age and health status (IIV, RIV4, or LAIV4) with no preference expressed for any one vaccine over another. All regular dose vaccines are quadrivalent this year. Fluzone (high-dose trivalent vaccine) may provide more protection to those ages 65 and up, …
Read MoreAbstracts in Urgent Care-October 2019
Report Pulmonary Illness Possibly Involving Vaping to State, Local Health Departments Key point: The CDC is working with state health departments to characterize severe pulmonary disease in patients who use e-cigarettes, also known as vaping. Citations: Centers for Disease Control and Prevention. CDC urges clinicians to report possible cases of unexplained vaping-associated pulmonary illness to their state/local health department. Available at: https://emergency.cdc.gov/newsletters/coca/081619.htm. Accessed September 6, 2019. Caporale A, Langham MC, Wensheng G, et al. Acute …
Read MoreAbstract In Urgent Care-September 2019
Practice of Urgent Care: Rude Patients May Do More than Ruin Your Mood Key point: Individual and team performance of clinicians suffer in both quality of diagnostic approach and procedural skills when dealing with rude patients. Citation: Riskin A, Erez A, Foulk TA, et al. The impact of rudeness on medical performance: a randomized trial. Pediatrics.2015;136(3):487-495. Patients in urgent care commonly have unrealistic demands and expectations. When they make disparaging remarks, it’s easy to feel …
Read MoreAbstract In Urgent Care-July 2019
Rush for Outpatient Stress Test Recommendation (Finally) Examined Key point: Rapid outpatient stress testing (ie, within 72 hours), which has long been recommended by the American Heart Association, did not decrease the short-term risk of major adverse cardiac events (MACE). Citation: Natsui S, Sun BC, Shen E, et al. Evaluation of outpatient cardiac stress testing after emergency department encounters for suspected acute coronary syndrome. Ann Emerg Med. April 5, 2019. [Epub ahead of print] The …
Read MoreAbstract In Urgent Care-June 2019
Practice of Urgent Care: The Illusion of Multitasking and the Cost of Interruptions Key point: True multitasking is not possible. Rather, when we attempt to multitask, our brains are actually rapidly switching focus. Task-switching and interruptions negatively impact our ability to complete tasks accurately and effectively. Minimizing task-switching reduces the likelihood of cognitive errors and, consequently, adverse patient outcomes. Citation: Skaugset LM, Farrell S, Carney M, et al. Can you multitask? Evidence and limitations of …
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