Journal of Urgent Care Medicine

Abstracts in Urgent Care – April 2022

Pediatric Pneumonia Signs and Symptoms of Cauda Equina Syndrome Removing ‘Stuck’ Rings Central vs Peripheral Acute Vertigo Zinc and Viral RTIs in Adults Nathan M. Finnerty, MD, FACEP; Joshua W. Russell, MD, MSc, FAAEM, FACEP; and Brett C. Ebeling, MD How Long Should Pediatric Pneumonia Be Treated? Take-home point: Lower-dose and shorter-duration amoxicillin treatment was noninferior to standard regimens for outpatient treatment of community-acquired pneumonia (CAP) in this trial. Citation: Bielicki JA, Stӧhr W, Barratt …

Abstracts in Urgent Care – March 2022

When Handlebar Meets Abdomen Corticosteroids and Asthma Antibiotics in Pediatric PAC Surfactant Use in AOM COVID Pneumonia and Disease Progression Neutralizing Antibodies in COVID Pediatric Abdominal Injuries from Handlebars Take-home point: Handlebar impact is a high-risk mechanism for serious intraabdominal injury in children and necessity of operative intervention is common. Citation: Vanderwalle R, Barker S, Raymond J, et. al. Pediatric handlebar injuries: more than meets the abdomen. Pediatr Emerg Care. 2021;37(9):e517-e523. Relevance: It is important …

Abstracts in Urgent Care – February 2022

Surgery—or Not—for Appendicitis? Oral Analgesics and Musculoskeletal Extremity Pain What Patient Don’t Know About Ionizing Radiation Risk with NSAIDs, Cox-2 Inhibitors, and Opioids in Fractures Inhaled Budesonide for COVID-19 Spread of COVID-19 within the Household Ivan Koay MBChB, FRNZCUC, MD Nonoperative Management of Acute Appendicitis Take-home point: This study adds to a growing body of literature suggesting that, in select patients, a nonsurgical approach to appendicitis management leads to similar outcomes. Citation: The CODA Collaborative …

Abstracts in Urgent Care – January 2022

Pediatric Burns and Cool, Clear Water Limit Screen Time After Concussion? Gastroenteritis in Children Diagnosing Giant Cell Arteritis POCUS and Ectopic Pregnancy Detecting C diff Vaccinating Adolescents Against COVID-19 Ivan Koay MBChB, FRNZCUC, MD First Aid for Pediatric Burn Patients Take-home point: Many children with burns receive inadequate cooling after burns when presenting for emergency care. Citation: Frear C, Griffin B and Kimble R. Adequacy of cool running water first aid by healthcare professionals in …

Abstracts in Urgent Care – December 2021

The Importance (or Not) of High BP Readings Learning While Driving—Does It Work? Considering Sucralfate in Pediatric Oral Ulcers Osteopathic Manipulation for Low Back Pain Safety of Oral Corticosteroid Bursts in Children Nathan M Finnerty, MD FACEP and Brett C Ebeling, MD Do High Blood Pressure Readings Matter? Take-home Point: Elevated blood pressure readings in the emergency room were not associated with an increased risk of poor cardiovascular outcomes in 2 years. Citation: McAlister F, …

Abstracts in Urgent Care November 2021

POCUS in Ocular Presentations Experiencing—and Handling—Patient Biases Self-Swabbing for STIs CAM Boots for Toddler’s Fracture? Treating Children with Bronchiolitis Azithromycin in COVID-19 Point-of-Care Ultrasound for Eye Examination Take-home point: Ocular ultrasound (OUS) can be a quick, safe, and effective way to assess eye complaints and complements the clinical exam. Citation: Manton J, Henry C. Benefits to utilising ultrasound in examining the eye. Emerg Med Australas. 2021;33:745–747. Relevance: As availability of point-of-care ultrasound (POCUS) becomes more …

Abstracts in Urgent Care – October 2021

Duration of UTI Treatment in Men Acute Respiratory Illness in Children Isopropyl Alcohol for Acute Nausea in Adults Neurological Events and Metronidazole Prescribing Do the Modified Sgarbossa Criteria Offer Advantages Over the Original? Safety of a Second COVID-19 Vaccination Dose in Patients Who Had a Reaction to the First How Long Should We Treat UTI in Men? Take-Home Point: In afebrile men with UTI symptoms, a 7-day course of ciprofloxacin or trimethoprim/sulfamethoxazole was noninferior to …

Abstracts in Urgent Care – April 2021

Acetaminophen vs Ibuprofen in Children Optimizing Podcasts for Learning Dosing Ketorolac IV in Renal Colic Torus Distal Radius Fractures Avulsion Fractures of the Fifth Metatarsal Base COVID-19 and ECGs Long-Term Sequelae of COVID-19 COVID-19, Zinc, and Vitamin C Use of Acetaminophen and Ibuprofen for Fever and Pain in Young Children Take-home point: Acetaminophen and ibuprofen are both safe for short-term treatment of pain and fever in children under 2 years of age. Ibuprofen produces more …

Abstracts in Urgent Care – March 2021

‘Seat Belt’ Signs Post MVA Pain Control in Corneal Abrasions Analgesia with Reduction of Shoulder Dislocation Can Early PT Help with Sciatica? How Vaping Compromises Breathing COVID-19 in the Country Pandemic Depression—A Real Thing? Avijit Barai, MBBS, MRCS, MSc (Critical Care), PgCertCPU, FRNZCUC Workup for “Seat Belt” Sign in Trauma Patients Take-home point: The presence of a “seat belt” sign has a high association with intraabdominal organ injury. Citation: Shreffler J, Smiley A, Schultz M, et …

Abstracts in Urgent Care – February 2021

Septic Knee Joints in Adults Recurrent Cellulitis Analgesics and Risk for Fracture Nonunion Assessing for MACE with and without a Troponin IV Fluids in Headache Management COVID-19 and Telemedicine COVID-19: The Second Wave Dr Avijit Barai, MBBS, MRCS, MSc (Critical Care), PgCertCPU, FRNZCUC Diagnostic Dilemma: Septic Arthritis of Knee Joints in Adult Patients Key point: Synovial fluid white cell count and Gram stain are the most useful laboratory markers for septic arthritis. Clinical evaluation, synovial …