Abstracts in Urgent Care – May 2025

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 …

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Abstracts in Urgent Care – June 2023

Abstracts in Urgent Care – June 2023

Download the article PDF: Abstracts in Urgent Care – June 2023 Ivan Koay MBChB, MRCS, FRNZCUC, MD Immersive Virtual Reality Use in Reducing Pediatric Procedural Anxiety Take-home point: Immersive virtual reality (IVR) use in pediatric patients significantly improved pain and anxiety compared with the control group. Citation: Wong C, Choi K. Effects of an immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing venipuncture: a randomized clinical trial. JAMA Netw Open. 2023;6(2):e230001. …

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Epistaxis: A Clinical Review

Epistaxis: A Clinical Review

Urgent message: Epistaxis is a common chief complaint representing a wide spectrum of severity. Key features such as the vital signs, location of the bleeding, and patient history, as well as practice and facility with certain procedures, can assist significantly with patient outcomes and dispositions. Lindsay Ballard, MD; Stephanie Fernandez, MD; and Joshua Kornegay, MD Citation: Ballard L, Fernandez S, Kornegay J. Epistaxis: a clinical review. J Urgent Care Med. 2021;15(10):13-18. Introduction Epistaxis is a …

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Management of the Patient Presenting with Epistaxis

Management of the Patient Presenting with Epistaxis

Urgent message: Though patients with posterior and bilateral epistaxis should be admitted to the hospital, the vast majority of epistaxis episodes can be treated safely and effectively in the urgent care setting. Nathaniel Arnone, MD, Samuel M. Keim, MD, MS, and Peter Rosen, MD Epistaxis is a common presenting complaint, with 15 per 10,000 people requiring medical attention each year.1 While the presence of blood in the pharynx can cause concern for both patients and …

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