Journal of Urgent Care Medicine

Impact of a Pharmacist-Provided Comprehensive Medication Review Service for Urgent Care Patients

Urgent message: Urgent care centers are encouraged to meet best practices for communication during transitions of care. Partnering with pharmacists may optimize medication therapy for patients, helping fulfill these best practices. JENNIFER A. FLAVIN, PharmD, CHRISTOPHER G. GREEN, PharmD, STEPHANIE C. COOK, DO, and STUART J. BEATTY, PharmD, BCACP Objective: This study aimed to (1) evaluate the impact of a pharmacist-provided comprehensive medication review (CMR) service on medication therapy appropriateness, safety, efficacy, and adherence for …

First and Ten: A Decade of JUCM

As we head into a new year at JUCM, our tenth, it is a natural time to reflect on our journal’s history and our goals for the future. Just being able to celebrate a 10th anniversary is nothing short of a miracle. Medical publishing has been in transition for some time, and the number of traditional journals is decreasing. Information, even complex clinical information, is now available with the click of a button. Considering the …

Rocky Mountain Spotted Fever: Dermatologic Manifestation of a Life- Threatening, Systemic Disease

Urgent message: Obtaining a detailed medical history is paramount for the early detection and treatment of Rocky Mountain spotted fever. Failure to acquire adequate patient information can lead to misdiagnosis and delayed treatment of this potentially life-threatening disease. WHITNEY CRAMER, PA-C Many dermatologic conditions such as rashes and eczema are encountered by urgent care providers on a daily basis. Often these conditions are diagnosed as contact dermatitis or are misdiagnosed, or the patient is referred …

Abstracts in Urgent Care: December, 2015

SEAN M. McNEELEY, MD Family Members Are Most Frequent Cause of Pertussis in Children Younger Than 1 Year Key point: Be sure to suggest adding a pertussis vaccine to tetanus whenever possible. Citation: Skoff TH, Kenyon C, Cocoros N, et al. Sources of infant pertussis infection in the United States. Pediatrics. 2015;136:636–641. Despite recent efforts to increase the number of U.S. adults whose immunizations are current, pertussis still is a frequent problem for children younger …

Clinical Challenge: December, 2015

Case A 56-year-old woman presents after a fall onto her outstretched hand. She has pain with range of motion of the wrist. She has no associated numbness or weakness and reports no other injuries. View the image taken (Figure 1) and consider what your diagnosis would be.

Clinical Challenge 2: November, 2015

Case A 67-year-old man presents with constipation and abdominal pain that has been present for the last 2 days. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.

Red Painful Eye with Visual Loss

A 29-year-old contact lens wearer presents to the urgent care center with a red eye, eye pain, and visual loss that has been increasing over the past 12 hours. Examination shows an injected conjunctiva with ciliary flush, and a cornea with white infiltrate in the stroma. View the image taken (Figure 1) and consider what your diagnosis would be.

An Urgent Care Approach to Burns

Urgent message: Burn injuries present with varying degrees of involvement and severity. It is vital that providers in an urgent care facility understand burn classification, treatments, and, most important, which burn patients can be treated in an outpatient setting and which patients require a higher level of care. DREW LONG, BS, BRIT LONG, MD, and ALEX KOYFMAN, MD Introduction Burn injuries are often devastating and are a leading cause of accidental injury and trauma in …

Abstracts in Urgent Care: November, 2015

Hypertonic Saline in Bronchiolitis Key point: Consider using hypertonic saline for bronchiolitis.Citation: Zhang L, Mendoza-Sassi RA, Klassen TP, Wainwright C. Nebulized hypertonic saline for acute bronchiolitis: a systematic review. Pediatrics. 2015;136:687–701. Bronchiolitis continues to be difficult to treat despite its high prevalence. With the exception of nasal bulb suction, few techniques have shown significant benefit, to the frustration of both patients’ parents and health-care providers. A Cochrane Review suggested that hypertonic saline (HS) may benefit …

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