Journal of Urgent Care Medicine

Abstracts in Urgent Care – September 2025

Casting Rather Than Surgery for Medial Epicondyle Fractures in Children Take Home Point: In this randomized trial, treatment for pediatric displaced medial epicondyle fractures with casting alone was noninferior to the traditional surgical fixation and casting at the12-month follow-up period. Citation: Grahn P, Helenius I, Hämäläinen T, et. al. Casting vs Surgical Treatment of Children With Medial Epicondyle Fractures: A Randomized Clinical Trial. JAMA Netw Open. 2025 May 1;8(5):e258479. doi: 10.1001/jamanetworkopen.2025.8479. Relevance: Medial humeral epicondyle …

Abstracts in Urgent Care – July/August 2025

AI Performs Well in Virtual Urgent Care Visits Take Home Point: This study indicates that an artificial intelligence (AI) algorithm was better at adhering to clinical guidelines and identifying critical red flags during virtual urgent care (UC) consultations, while physicians were better at adapting recommendations to changing information obtained during a patient consultation. Citation: Zeltzer D, Kugler Z, Hayat L, et al. Comparison of Initial Artificial Intelligence (AI) and Final Physician Recommendations in AI-Assisted Virtual …

Abstracts in Urgent Care – June 2025

Can Doctors Predict Patient Outcome from a First Impression? Take Home Point: In this systematic review, the first impressions of “sick versus not sick” and appropriate patient disposition had reasonable predictive value for patient outcomes but was not sufficiently accurate to supplant thorough clinical assessment. Citation: Treloar E, Abraham A, Smith E, et. al. Can first impressions predict patient outcomes? Acad Emerg Med. 2025 Mar;32(3):351-354. doi: 10.1111/acem.15053. Relevance: In busy environments such as urgent care …

Abstracts in Urgent Care – May 2025

Which Topical Agent is the Best Choice for Epistaxis? Take Home Point: This study found that oxymetazoline was most effective in achieving hemostasis in cases of epistaxis when compared to tranexamic acid (TXA) and an epinephrine-lidocaine combination (ELC) solution. Citation: Celik T, Altun M, Kudu E, et. al. Comparison of the efficacy of oxymetazoline, tranexamic acid, and epinephrine-lidocaine combination in the treatment of epistaxis. Am J Emerg Med. 2025 Feb 23:91:104-109. doi: 10.1016/j.ajem.2025.02.036 Relevance: Controlling …

Abstracts in Urgent Care – April 2025

Evaluating Interventions for Improving Antibiotic Stewardship in Urgent Care Take Home Point: An antibiotic stewardship intervention was associated with reduced rates of antibiotic prescribing for patients with bronchitis, but not viral upper respiratory infections (URI). Citation: Park D, Roberts A, Hamdy R, et. al. Evaluating an urgent care antibiotic stewardship intervention: a multi-network collaborative effort. Infect Control Hosp Epidemiol. 2025; Jan 8:1-6. doi: 10.1017/ice.2024.213 Relevance: Antibiotic prescribing for conditions not caused by bacterial infection remains …

Abstracts in Urgent Care – March 2025

Developing Procedural Mastery With Slit Lamp Use Take Home Point: Simulation-based mastery learning (SBML) intervention improved emergency physicians’ confidence in performing and teaching slit lamp exams (SLE) to other clinicians, but this confidence waned after completing the training. Citation: Hamou S, Ghiaee S, Chung C, et. al. Emergency Department Slit Lamp Interdisciplinary Training Via Longitudinal Assessment in Medical Practice. West J Emerg Med. 2024;25(5):725-734. doi: 10.5811/westjem.18514 Relevance: Procedural comfort and competence for a wide variety …

Abstracts in Urgent Care – February 2025

Concussion Recovery in Young Children Take Home Point: This study suggests that children aged 5-12 years old with concussion have similar trajectories of recovery regardless of mechanism of injury. Citation: Ledoux A, Sicard V, Bijelic V, et. all. Symptom Recovery in Children Aged 5 to 12 Years With Sport-Related and Non–Sport-Related Concussion. JAMA Netw Open. 2024 Dec 2;7(12): e2448797. doi: 10.1001/jamanetworkopen.2024.48797. Relevance: More knowledge about the natural history of concussion in children can help …

Abstracts in Urgent Care – January 2025

Hematoma Blocks Effective for Closed Forearm Reduction Take Home Point: Hematoma blocks are an effective method of achieving analgesia to facilitate closed reduction of forearm fractures. Citation: Pitman G, Soeyland T, Popovic G, et al. Hematoma block is the most efficient technique for closed forearm fracture reduction: a retrospective cohort study. Emerg Med J. 2024; 41:595–601 Relevance: Adequate closed reduction of wrist and forearm fractures acutely after injury is important to reduce risk of complications …

Abstracts in Urgent Care – December 2024

ECG Interpretation: Humans Vs Machines Take Home Point: In this study, cardiologists and emergency physicians (EP) had greater accuracy for electrocardiogram (ECG) interpretation than current versions of ChatGPT and Gemini. Citation: Günay S, Öztürk A, Yiğit Y. The accuracy of Gemini, GPT-4, and GPT-4o in ECG analysis: A comparison with cardiologists and emergency medicine specialists. Am J Emerg Med. 2024 Oct:84:68-73. doi: 10.1016/j.ajem.2024.07.043. Relevance: Artificial Intelligence (AI) is rapidly evolving and becoming an integral part …

Abstracts in Urgent Care – November 2024

Sophistication of ECG for Detection of Acute Coronary Syndromes Take Home Point: Cardiac electrical biomarker (CEB), a finding detectable on ECG, may hold potential for identifying patients with acute myocardial ischemia; this may have significant implications for urgent care (UC) based chest pain risk stratification. Citation: Chattopadhyay S, Adjei F, Kardos A. Changes in Cardiac Electrical Biomarker in Response to Coronary Arterial Occlusion: An Experimental Observation. J Cardiovasc Transl Res. 2024 Aug;17(4):870-878. doi: 10.1007/s12265-024-10487-w. Relevance: …

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