Journal of Urgent Care Medicine

High Dose Stimulants Present Elevated Risk for Mania

A recent study of adult emergency department (ED) admissions published in Psychiatry Online found that patients taking high doses of prescription amphetamine drugs such as Adderall (>30 mg dextroamphetamine equivalents) have a 5.28-fold increased risk for developing psychosis or mania. Researchers compared 1,374 cases of individuals presenting with first-episode psychosis or mania to 2,748 control patients with a psychiatric hospitalization for other conditions. Data analysis suggests that 81% of cases of psychosis or mania potentially …

More Markets Will Feature 24-Hour Urgent Care Clinics

UMC Health System opened a new 24-hour urgent care (UC) in Lubbock, Texas, this month, and it’s a strong indicator of where growth trends may lead in 2025. While the UC market in general has gravitated to an 8AM to 8PM schedule, more extended-hours sites are emerging. Staffing remains the biggest challenge in this case, according to Alan A. Ayers, MBA, MAcc, President of Urgent Care Consultants and Senior Editor of The Journal of Urgent …

ASD Services Fit With Existing UC Business Models

Urgent Message: Rapid growth in the autism spectrum disorder services (ASD) sector may present an expansion opportunity for urgent care operators who take the initiative to develop the necessary infrastructure. Citation: Ayers A. ASD Services Fit With Existing UC Business Models, J Urgent Care Med. 2024; 19 (1): 33-36 As the prevalence of autism spectrum disorder (ASD) continues to rise—now affecting 1 in 36 children in the United States—demand for accessible services is greater than …

Urgent Care Diagnosis and Management of Distal Radial (Colles) Fractures

Urgent Message: Fractures of the distal radius, commonly referred to as Colles fractures, most often occur after a fall onto an outstretched hand. Their immediate urgent care management may require only splinting or a same day emergency department visit depending on certain factors. Citation: Bunstine JL, Hartz C. Urgent Care Diagnosis and Management of Distal Radial (Colles) Fractures. J Urgent Care Med. 2024; 19(1):15-19 Editor’s Note: While the images presented here are authentic, the patient …

Practical Advice for Clinicians on Interfacing with Social Media

Did you know the average person spends over 2 hours on social media every day?[1] While it’s clear that social media is here to stay, the impacts of social media trends on clinicians and patients alike is probably less apparent to you—but it is undoubtedly the reality we face. Today, 8 in 10 internet users search for health information online,[2] and 74% of these people use social media.[3] Perhaps more surprisingly, in a 2023 survey, …

Could This Young Patient Really Have a STEMI? A Case Report of a Spontaneous Coronary Artery Dissection

Urgent Message: It is important to quickly obtain an electrocardiogram in patients presenting with chest pain or other symptoms suggestive of acute coronary syndrome, even for those who are young and without traditional coronary risk factors. Citation: Krauss WC. Could This Young Patient Really Have a STEMI? A Case Report of a Spontaneous Coronary Artery Dissection. J Urgent Care Med. 2024; 19 (1):21-23 Key Words: chest pain, spontaneous coronary artery dissection, acute coronary syndrome Abstract …

Development and Implementation of a Headache and Migraine Pathway in Pediatric Urgent Care: A Quality Improvement Initiative

Urgent Message: There are an estimated 250,000 visits annually associated with pediatric headaches in the United States, 84% of which are not treated according to best evidence-based practice (EBP). The development of an EBP headache and migraine pathway in a pediatric urgent care improved access to evidence-based guidelines and increased clinician confidence and knowledge regarding the diagnosis and management of headaches in children. Sarah J. Nembu, DNP, APRN, FNP-C, CPNP-AC; Melissa R. Penkalski, DNP, APRN, …

Mistaken Identity

For as long as I can remember, Urgent Care has defined itself in the context of something else. We’re “more than primary care but less than emergency,” and “we’re like those drugstore clinics but we can do a lot more.” Or “we fill a gap in on-demand access.” I guess that is necessary when you are new and small and unknown. The problem with this kind of definition is that it’s so other-dependent. The way …

Older Migraine Drugs Work Better, Cost Less

Some older triptan drugs are better at relieving acute migraine pain than newer drugs, a systematic review and analysis of 137 randomized controlled trials suggests. As published in BMJ, researchers considered pain relief and freedom from pain at 2 hours in addition to sustained freedom from pain at 24 hours for nearly 90,000 participants who were randomized to one of 17 oral migraine drugs or placebo. All 17 drugs studied were more effective than placebo. …

UCCOP Seeks AMA Specialty Recognition

The Urgent Care College of Physicians (UCCOP) recently submitted its application to the Specialty and Service Society (SSS) of the American Medical Association (AMA). The application is the first step toward specialty recognition. According to UCCOP, the strategic initiative is part of an effort to amplify the voice of urgent care clinicians within the AMA. The SSS decision should be forthcoming in November. Entrance into the SSS requires that a percentage of UCCOP physicians be …

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