Journal of Urgent Care Medicine

Portable X-Ray in Urgent Care: Why Cheaper Isn’t Better

Urgent Message: Urgent care startups should avoid “cheaper” portable x-ray units, as they face regulatory restrictions, create workflow bottlenecks, and produce inferior images, making a fixed DR suite a better long-term investment. Keywords: portable x-ray; diagnostic radiology; radiation exposure; fractures Urgent care centers thrive by delivering fast, comprehensive, 1-stop service to ambulatory patients, and imaging capability is central to that promise. New operators commonly face a dilemma: their pro forma is tight, build-out costs are …

Increased Incidence of Pneumonia in Pediatric Urgent Care

Urgent Message: Pediatric after‑hours care clinics experienced a significant rise in radiographically confirmed pneumonia over a 2‑year period, paralleling national increases in Mycoplasma pneumoniae infections. Morgan McBee, MD; Leslie Spence, MD; Jeanne Hill, MD; Leah S. McBee, MD Keywords: pediatrics; community-acquired pneumonia; mycoplasma pneumonia; after-hours care; radiography, thoracic Abstract Introduction: Pediatric community-acquired pneumonia typically occurs at a rate of approximately 20 visits per 1,000 children in the population. Multiple reports and data from the Centers …

Abstracts in Urgent Care: June, 2007

Evaluation of the Utility of Radiography in Acute Bronchiolitis Key point: Infants with typical bronchiolitis (clinically O2sat>92% and mild/moderate distress) do not need imaging. Citation: Schuh S, Lalani A, Allen U, et al. J Pediatr. 2007;150: 429-433. URL: http://sitemaker.umich.edu/emjournalclub/article_database/ da.data/1619753/PDF/bronchiolitis_xray_j_pediatrics.pdf The purpose of this study was to determine the proportion of radiographs inconsistent with bronchiolitis in children with typical presentation of bronchiolitis and to compare rates of intended antibiotic therapy before radiography versus those given …

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