Practice Management
Children with birthdays in the fall are more likely to receive annual flu vaccinations and also are more likely to experience lower rates of influenza than children born in the summer, according to a study published in JAMA Pediatrics. Researchers used the birth month as a comparative measure because children often receive their annual well-child visits near their birthdays. Since flu vaccines typically become available in late summer or early fall, children with birthdays that …
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Urgent Message: Acute asthma exacerbations commonly present to urgent care, and providers must be well-equipped to recognize asthma exacerbations and be familiar with management recommendations. Samantha Shear, DO; Laura Calderon Suarez, MD; Maria Sara Valle Nodal, MD Keywords: pediatric asthma; asthma exacerbation; spirometry; inhaled corticosteroids; bronchodilator therapy; urgent care Abstract Overview: Asthma affects nearly 10% of children globally, with an estimated 95.7 million cases reported in 2021. This review discusses updates from the 2025 Global …
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Urgent Message: Low-risk plantar puncture wounds in healthy children can be safely managed without antibiotics. Parents should receive instructions for return precautions. Adam Brandon Bondoc, MD Keywords: plantar puncture wound; pediatric puncture wound; rubber-soled footwear; pseudomonas aeruginosa; antibiotic stewardship; foreign body risk Abstract Introduction: Puncture wounds that occur through rubber-soled footwear increase the risk of infection from Pseudomonas aeruginosa. Prophylactic oral fluoroquinolones are frequently provided to adults for high-risk injuries. However, pediatric care is complicated …
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Causes, Management, and Outcomes of Diplopia in the ED Take Home Point: For diplopia, binocular diplopia was the most common presentation to the emergency department (ED), with microangiopathies and strokes being the most common etiology. Citation: Occelli C, Coffin V, Raynaud O, et. al. Presentation, management and outcomes of patients with diplopia in the emergency department. Am J Emerg Med. 2025;96:170-175. doi: 10.1016/j.ajem.2025.06.024. Relevance: Patients with diplopia occasionally present to ED and urgent care (UC) …
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Roflumilast 0.05% cream, a new once-daily, steroid-free treatment that can be used anywhere on the body, was approved by the Food and Drug Administration to treat mild to moderate atopic dermatitis in children 2 to 5 years of age. According to the manufacturer’s press release, roflumilast can be used for any duration of time, which can be a benefit because the topical steroids that have been a standard treatment are not appropriate for long-term use. …
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Urgent Message: There are no consensus definitions for what defines a “positive” urinalysis in the pediatric population. This secondary analysis of data from a quality improvement project in a network of pediatric urgent care centers used a machine learning approach to determine which variables on urinalysis most strongly predict a subsequently positive urine culture. Kari Flicker, BS; Jessica Parrott, DNP, CPNP-PC, CNE; Tammy Speerhas, DNP, FNP-C; Turaj Vazifedan, DHSc; Theresa Guins, MD; Jeffrey Bobrowitz, MD; …
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For patients with autism spectrum disorder (ASD), a trip to a healthcare provider can cause distress. Many with ASD are particularly sensitive to light, sound, textures, and touches. Some have advocates, loved ones, or parents who assist with communication. Yet, few urgent care providers have the insight or the resources to improve the experience of clinic visits for those with ASD. Three Northwell Health-GoHealth pediatric centers in New York recently partnered with the national organization …
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A clinical panel recently issued dozens of recommendations for treating vitiligo in pediatric, adolescent, and young adult patients, as published in a consensus statement in JAMA Dermatology. The main conclusions point out that topical calcineurin inhibitors, topical corticosteroids, and topical Janus kinase inhibitors are effective treatments for vitiligo in these age groups. Treatment decisions should also consider factors such as the location of vitiligo, body surface area affected, age, and other patient-specific factors. Perhaps a …
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Children’s Hospital Los Angeles (CHLA) has launched a new virtual urgent care service specifically for children and young adults up to 21 years old who need after-hours medical attention for non-emergency conditions, according to MobiHealth News. The platform connects patients with CHLA healthcare providers for presentations such as fever, respiratory infections, vomiting, minor eye issues, allergies, bruises, cuts and scrapes. The telehealth providers can offer discharge instructions, send prescriptions to pharmacies, and recommend a referral …
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Urgent Message: The accurate and prompt diagnosis of Kawasaki disease depends on clinicians’ familiarity with the diagnostic criteria and ability to recognize the waxing and waning manifestations of this pediatric condition. Dominic K. Hardatt, DMSc, PA-C Citation: Hardatt DK. Incomplete Kawasaki Disease Clinically Diagnosed from Urgent Care: A Case Report Based Review. J Urgent Care Med. 2024;18(5);34-39. Keywords: Kawasaki disease, mucocutaneous lymph node syndrome, incomplete Kawasaki disease, febrile illness, fever, polymorphous rash, pediatric, coronary artery …
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