Journal of Urgent Care Medicine

Syncope: Evaluation and Management in an Urgent Care Setting

Urgent message: When a patient presents to urgent care after a syncopal event, the clinician’s charge is to determine whether the episode was of benign or potentially life-threatening etiology and whether the patient should be transferred for further evaluation. Kenneth V. Iserson, MD, MBA, FACEP, FAAEM, Professor of Emergency Medicine, The University of Arizona, Tucson, AZ Introduction Syncope is a sudden, transient loss of consciousness with a loss of postural tone (typically, falling). It results …

Clinical Challenge: October, 2006

The Evolution of a Specialty

Lee A. Resnick, MD, FAAFP Evolution, by definition, is a process in which something passes by degrees to a more advanced stage. This inaugural issue of The Journal of Urgent Care Medicine (JUCM) represents an important milestone in the evolution of urgent care medicine as a discipline.

On Croup, Wet Sutures, Fast Tracking the ED, Acetaminophen and ALT, and Stone Formation

NAHUM KOVALSKI, BSc, MDCM

A 3-year-old Boy Falls 1.5 Feet

A 3-year-old boy presents to your urgent care center two hours after taking a fall of approximately 1.5 feet. He is experiencing pain in his elbow, which is swollen. Distal pulses and sensation and grip strength are normal. View the x-ray taken (Figure 1) and consider what your next steps would be. Resolution of the case is described on the next page.

Upper Right Back Pain

A 36-year-old obese woman presents with upper right back pain 10 days after a normal child birth. Pain is worse on coughing. Otherwise, she is fit and well. No shortness of breath Normal oxygen saturation Patient is afebrile Auscultation: Reduced breathing sounds in right base, fine crackles on right View Figure 1, take these findings into account, and consider what your next steps would be. Resolution of the case is described on the next page.