Journal of Urgent Care Medicine

Abstracts in Urgent Care – June 2026

Comparing Point-of-Care Ultrasound With X-Rays in Pediatric Physeal Injuries Take Home Point: Point-of-care ultrasound (POCUS) demonstrated a high sensitivity in detecting traumatic bone and physeal fractures in children. However, it had only moderate concordance with x-rays (XR) in assessing the extension of the fracture into the joint space and Salter-Harris classification. Citation: Gurkan O, Kozaci N, Colak S, et al. Diagnostic accuracy of point-of-care ultrasonography in physeal fractures. Am J Emerg Med. 2026 Feb;100:198-204. doi: …

Scoring Tools Help Clinicians Estimate Risk In Syncope Patients

Researchers found that both the Canadian Syncope Risk Score (CSRS) and the FAINT score can inform clinical management of syncope in a prospective, observational study validating the tools published in JAMA Network Open. The primary outcome was a serious adverse outcome within 30 days of an emergency department (ED) visit. Among 1,263 patients aged 40 years or older with syncope or presyncope presenting to 6 urban EDs in the United States, 5.9% experienced a serious …

Abstracts in Urgent Care – February 2026

Do We Need to Manage Presyncope Similar to Syncope? Take Home Point: Patients with unexplained presyncope and syncope in this study had similar rates of serious cardiac outcomes at 30 days following their initial emergency department (ED) visit. Citation: Suh EH, Sacco DL, Winskill C, et al. Serious Cardiac Outcomes and Physician Estimation of Risk in Emergency Department Patients With Presyncope Versus Syncope. Ann Emerg Med. 2025 23:S0196-0644(25)01155-2. doi:10.1016/j.annemergmed.2025.08.014 Relevance: Patients with presyncope and syncope …

17-Year-Old With Syncope

A 17-year-old male presents to urgent care with syncope. He has a family history of sudden cardiac death. He is well appearing and with normal vital signs. An ECG is obtained. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Abstracts in Urgent Care – October 2022

Ivan Koay MBChB, FRNZCUC, MD Achilles Tendon Rupture Predictive Value of Seamen’s Sign PT and Meniscus Tears Managing ACS in Rural Areas Following Up on Radiology Recommendations Syncope and Motor Vehicle Accidents Surgical vs Nonoperative Management of Achilles Tendon Rupture Take-home point: Surgery at 12 months postinjury was not associated with better outcomes compared with nonoperative treatment of Achilles tendon rupture. Citation: Myhrvold S, Brouwer E, Andersen T, et. al. Nonoperative or surgical treatment of …

Approach to Syncope in Children and Adolescents

Urgent message: Syncope in pediatric patients may be attributed to a wide variety of sources. As such, it is essential to keep a broad differential and to eliminate potentially life-threatening etiologies. Nehal Bhandari, MD, FAAP and Abbas Zaidi, MD, FAAP CASE PRESENTATION A 12-year-old previously healthy female presents to urgent care with several episodes of “blacking out” over the past 4 days. Each episode has occurred when she stands up from a sitting or supine …

A Patient on Dialysis with Syncope

History: A 67-year-old female presents to urgent care complaining of one episode of syncope earlier in the day. No seizure-like activity was noted by the family and she returned to baseline within a minute. She has a past medical history of end-stage renal disease on scheduled hemodialysis, hypertension, diabetes, coronary artery disease, and chronic nausea. Medications include aspirin, insulin, amlodipine, hydralazine, ondansetron, metoclopramide, and amiodarone. View the ECG taken and consider what your diagnosis …

October 2006

Syncope: Evaluation and Management in an Urgent Care Setting

Urgent message: When a patient presents to urgent care after a syncopal event, the clinician’s charge is to determine whether the episode was of benign or potentially life-threatening etiology and whether the patient should be transferred for further evaluation. Kenneth V. Iserson, MD, MBA, FACEP, FAAEM, Professor of Emergency Medicine, The University of Arizona, Tucson, AZ Introduction Syncope is a sudden, transient loss of consciousness with a loss of postural tone (typically, falling). It results …

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