Lawsuit is a Reminder: Be Suspicious of Worsening Infections and Know Local Susceptibilities

Lawsuit is a Reminder: Be Suspicious of Worsening Infections and Know Local Susceptibilities

A man who reported to a Kansas City-area urgent care center with an open wound on the bottom of his foot—and who ended up losing his leg when his cellulitis worsened and he ultimately developed gangrene and sepsis—is suing the physician who first saw him, alleging that she failed to prescribe the right antibiotic, never cultured his wound, and declined to order any lab work whatsoever. The suit claims the doctor prescribed broad-spectrum antibiotics that …

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New Data Show More Patients Are Choosing Urgent Care Over the ED

New Data Show More Patients Are Choosing Urgent Care Over the ED

The increase in urgent care visits across the U.S. shows no signs of slowing down—and that seems directly correlated to a decline in emergency room visits, according to an article just published in JAMA Internal Medicine. Informed by data from Aetna, the article notes that urgent care visits by commercially insured Americans grew 119% between 2008 and 2015, at the same time ED visits for low-severity conditions shrunk by 36%. Lead author Sabrina Poon, MD …

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CDC Offers New Guidance on Caring for Children with Possible Concussion

CDC Offers New Guidance on Caring for Children with Possible Concussion

Roughly 800,000 children are brought to emergency rooms after sustaining a blow to the head every year, according to the Centers for Disease Control and Prevention. Clearly, many others appear in urgent care centers—and that segment is likely to grow as parents continue to become more aware that urgent care is often the best choice for many complaints. Now the CDC has released new guidelines on evaluation and treatment of children who’ve sustained a blow …

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Back-to-School and Back-to-Sports ‘Specials’ Can Help the Community—and Broaden Your Base

Back-to-School and Back-to-Sports ‘Specials’ Can Help the Community—and Broaden Your Base

Labor Day weekend can signal a chaotic time of year as families scramble to squeeze in one more summertime adventure—sometimes overlooking the fact that their children have to get a check-up for fall sports or to make sure their immunization history is up to date. Promoting your capability to take care of that on shorter notice than a typical pediatric or primary care office could both help them out and land your operation more repeat …

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With Unexplained Genital Sores, Ask About Recent Travel and Sexual History

With Unexplained Genital Sores, Ask About Recent Travel and Sexual History

A woman in the United Kingdom has been diagnosed with a “flesh-eating” sexually transmitted disease that is relatively rare in the UK, and even more-so in the United States—but common in many tropical areas. Donovanosis causes genital and anal ulcers and can destroy tissue. Often, patients first notice small, painless sores that expand slowly before becoming raised, red bumps that bleed easily. As it spreads, it can destroy genital tissue and cause the surrounding area …

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FDA Set to Deliver on Promise of New Guidelines for Acute Pain

FDA Set to Deliver on Promise of New Guidelines for Acute Pain

The Food and Drug Administration has tapped the National Academy of Sciences, Engineering, and Medicine to help it develop guidelines for treating acute, short-term pain related to specific medical conditions and procedures. The FDA says its new standard will “build on” the Centers for Disease Control and Prevention’s updated advisory, which does not distinguish among pain from fibromyalgia, arthritis, neuropathy, or any other medical condition. The FDA’s plan is to be more indication-specific. Another difference: …

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Detroit Sees an Urgent Care Boom

Detroit Sees an Urgent Care Boom

Detroit-area residents will have a lot more urgent care centers to choose from in the next 16 months, as Henry Ford Health System, Detroit Medical Center, Ascension Health Michigan, and Beaumont Health all have announced they’re going to build up their operations there. Beaumont has the most ambitious plans, as they work with WellStreet Urgent Care to finance and open 30 new centers by the end of next year. Analysts say the expansion plans are …

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Think Even Harder About Prescribing Opioids as the Day Wears On

Think Even Harder About Prescribing Opioids as the Day Wears On

Chances are you think long and hard before prescribing opioids, and consider how long a patient will really need that level of pain relief if you do decide they’re necessary, in these days of rampant addiction. An article published in the Journal of General Internal Medicine suggests that physicians should mull that over even more toward the end of their shift, as the likelihood of prescribing an opioid product is 60% higher in the last …

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Making Office Visits Positive for Transgender Patients

Making Office Visits Positive for Transgender Patients

Concerns over how they might be treated are so severe for some transgender patients that they decline to get medical care on a regular basis. While the consequences of that for the patient are self-evident, there is also pressure on the urgent care provider to 1) get to the root of whatever the patient’s complaint is, understanding that it may have gone unaddressed longer than might be expected and 2) to interact with the patient …

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FastMed Takes a ‘Pre-Injury’ Approach to Concussion Care

FastMed Takes a ‘Pre-Injury’ Approach to Concussion Care

Urgent care—and the medical community in general—has come a long way in concussion recognition and management. One shortfall has been that clinicians assessing patients who experienced a blow to the head had nothing to compare their findings to, in terms of the patient’s “normal” capabilities. The most recent development in the field has been the idea of getting a baseline on a patient’s cognitive health conditions before an injury occurs. FastMed just launched its own …

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