Journal of Urgent Care Medicine

Ask Patients in Pain About Ibuprofen Use

New data published in Pharmacoepidemiology & Drug Safety remind us about the dangers of pain medications—not opioids this time, but over-the-counter drugs like ibuprofen. After acetaminophen, it’s the second-most used drug in the U.S., and the most commonly used nonaspirin NSAID. Many patients are using excessive dosages, however, putting themselves at risk for dose-related side effects (eg, upper gastrointestinal bleeding and acute renal injury) that can be quite severe or even fatal. The P&DS research …

Acute Pain Management in Urgent Care Medicine

Urgent message: Urgent care practitioners are called upon daily to alleviate pain. A thorough understanding of the various pain syndromes and the pharmacology and analgesic potencies of various medications will aid in their safe and appropriate use. Marc R. Salzberg, MD, FACEP and Paolo T. Coppola, MD, FACEP Pain, either chronic or acute, is the main reason patients seek medical care. In this article, we will discuss acute pain management in an urgent care setting, …

Abstracts in Urgent Care October 2006

Each month, Dr. Nahum Kovalski will review a handful ofabstracts from, or relevant to, urgent care practices and practitioners. For the full reports, go to the source cited under each title. Dexamethasone Has Advantage Over Prednisolone in Children with Croup Citation: Sparrow A, Geelhoed G. Arch Dis Child. 2006;91:580-583. Children with croup who are treated with prednisolone are more likely than those treated with dexamethasone to return for additional medical care, researchers in Australia reported …

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.