Don't Forget the Bubbles

AUGUST 7, 2023

This prospective cohort study included patients between 0-16 years old, who presented to one of four NHS hospital sites in Greater Manchester (a large metropolitan area in the North of England), consisting of an Urgent Care Centre and three Emergency Departments.

Sepsis 98

Sepsis Pediatrics Urgent Care Emergency Department 98

Urgent Care Ultrasounds

APRIL 17, 2019

A window to your heart… A woman in her 40’s presented to the urgent care clinic with a four day history of cough and fevers following an upper respiratory tract infection the week prior. On examination she appeared well. She had noticed some mild SOB on exertion over the past few days when climbing stairs.

Ultrasounds 52

Ultrasounds Urgent Care Hospitals Wellness 52

Sensible Medicine

AUGUST 25, 2023

I was proud that I made the diagnosis of temporal arteritis after her presentation had stumped doctors in an urgent care, an emergency room, and in a rheumatology clinic. Well-informed adults should be allowed to make what seem to us doctors like bad decisions. I met CT early in my career. You do understand that I am dying?

Hospitals 97

Hospitals Urgent Care Wellness Fractures 97

Medagadget

AUGUST 4, 2023

Expansion of the LUMINELLE portfolio is intended to meet the needs of smaller or rural offices, offices with reprocessing restrictions, and situations that need immediate care. We will continue to listen to physicians and understand the needs of the office setting as well as urgent care or even trauma situations.

Operations 92

Operations Urgent Care Outcomes OB/GYN 92

PEMBlog

OCTOBER 19, 2023

This case was submitted by… A previously healthy 19-month-old male presented with lethargy and abdominal distention from an urgent care. Tyrosinemia The patient’s CT scan revealed liver replaced and distorted by innumerable, variably-enhancing nodules, as well as nephromegaly. This is the fourth of the four cases.

Urgent Care 52

Urgent Care Pediatrics Poisoning Wellness 52

RebelEM

JANUARY 23, 2023

PMID: 32653333 What They Did Multi-center, double-blind, randomized, phase 3 clinical trial with a parallel-group, active-controlled, non-inferiority design. Patients were randomized in a 1:1 ratio. The effectiveness of IV cetirizine was determined to be statistically non-inferior. Journal of Investigative Dermatology Symposium Proceedings , vol.

Allergic Reactions 52

Allergic Reactions Anaphylaxis Emergency Department Urgent Care 52

The Skeptics' Guide to EM

APRIL 29, 2023

However, what’s not well studied is the effect of TMH on post-evaluation utilization and processes of care such as medication changes, disposition, length of stay, involuntary holds, and use of chemical or physical restraints.

Psychiatric 40

Psychiatric Emergency Department Urgent Care Academics 40

ACEP Now

APRIL 2, 2024

Before arriving at our ED, the patient sought care at an urgent care clinic, where she was prescribed ondansetron without improvement. Francis Hospital and Medical Center, as well as an assistant professor at University of Connecticut School of Medicine and Quinnipiac University School of Medicine.

Poisoning 40

Poisoning Administration Urgent Care Documentation/Coding 40

Taming the SRU

OCTOBER 14, 2024

Six days prior, the patient was evaluated at an urgent care and prescribed doxycycline and prednisone. As emergency physicians, both ocular and soft tissue ultrasonography are well within our purview and can aid in diagnostic certainty and expedite treatment in patients presenting with signs and symptoms of orbital infections.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Documentation/Coding 52

Urgent Care Ultrasounds

MAY 3, 2018

On examination he appeared well, t = 38.0, A 30-year-old man presented with a few days of sore throat and cough. He wanted reassurance that it was just a viral illness and that he did not require antibiotics. throat mildly red, Chest – resonant to percussion and clear to auscultation posteriorly and laterally.

Ultrasounds 40

Ultrasounds Wellness 40

Urgent Care Ultrasounds

MAY 15, 2018

Well, maybe. The importance of patient positioning, probe position and patience, for the detection of small pneumothoraces Ultrasound to rule out a pneumothorax is easy! Just plonk the probe on the front of the chest, confirm lung sliding, and you’re done, right? 1) Small pneumothoraces are more ellusive.

Ultrasounds 40

Ultrasounds Academics Fractures Wellness 40

Dr. Smith's ECG Blog

OCTOBER 13, 2023

There is worrisome T-wave inversion in inferior leads as well, which is another clue to LAD Occlusion In fact, this ECG meets STEMI criteria!! He was seen in urgent care yesterday after his symptoms persisted, where he was discharged with a presumed diagnosis of GERD after improvement in symptoms with Maalox.

EKG/ECG 116

EKG/ECG Urgent Care Emergency Department Outcomes 116

The Skeptics' Guide to EM

OCTOBER 7, 2017

Current evidence and clinical standards for acute management of simple sprains (Grade I and II) is limited and not well defined. Clinical Question: Does a supervised physiotherapy program result in improved recovery from acute ankle sprains compared to usual care in adult patients presenting to an emergency department or urgent care clinic.

Urgent Care 40

Urgent Care Emergency Department Fractures Wellness 40

Northwestern EM Blog

JANUARY 3, 2022

This is especially true due to the high rate of injury among runners, with a published annual incidence rate ranging from 19% to 79%; with even conservative estimates, that is nearly 8 million running injuries annually.

Fractures 52

Fractures EMS Urgent Care Stroke 52

Don't Forget the Bubbles

OCTOBER 2, 2024

They used primary and urgent care clinics as referral sources and were randomised to different pathways. This referral procedure is only possible with a well-structured system and may not be feasible in all settings. The average waiting time for the first assessment was only a few minutes shorter when going through the ED.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Urgent Care 52

PulmCCM

NOVEMBER 18, 2021

As well, while systemic corticosteroids benefitted patients requiring oxygen in the RECOVERY evaluation , in the sub-population of patients without supplemental oxygen requirements, corticosteroids may have been harmful. While this is unfortunate, scientifically, we can appreciate the logistical hurdles to achieve sham ICS during a pandemic.

Urgent Care 40

Urgent Care Hospitals Stroke Wellness 40

PulmCCM

SEPTEMBER 28, 2023

with Covid-19 randomized to 800 μg of inhaled budesonide twice daily had significantly fewer urgent care visits, and faster resolution of symptoms. In most of these studies, diagnostic imaging was only performed on patients at higher pretest probability for PE according to Wells criteria or other risk stratification.

COPD 95

COPD Stroke Academics Urgent Care 95

Sensible Medicine

JANUARY 3, 2025

But, there are still times that the exam can make a difference in the patient’s care. 2 A 50-year-old woman presents to an urgent care with about a day of right shoulder pain. ” A 50-year-old woman comes to an urgent care for a third visit with right upper quadrant abdominal pain. It is intermittent.

Urgent Care 116

Urgent Care Ultrasounds Wellness 116

Sensible Medicine

JULY 28, 2023

As our hospital filled up, I was left doing video visits with my patients (visits that I found unrewarding), educational sessions about COVID for doctors from other specialties, and urgent care shifts to see the patients who needed to be seen in person. MJ was the first person I diagnosed, definitively, with COVID.

Hospitals 95

Hospitals PPE Urgent Care Academics 95

Dr. Smith's ECG Blog

DECEMBER 22, 2024

He went to urgent care and had an ECG (not available) which was interpreted as normal, and was sent home. His pain returned, and he went back to the urgent care but was sent to the ER. Her training set included active OMIs as well as reperfused OMIs ( e.g. Wellens waves). His ECG is shown: What do you think?

Urgent Care 68

Urgent Care EKG/ECG Wellness 68

Don't Forget the Bubbles

AUGUST 29, 2023

You treated me so well.” And so we looked at practice within our own departments across the three paediatric EDs and urgent care centres in Dublin. We used the LGBT-DOCSS , a validated research tool of clinical competency in caring for LGBTQ+ patients, to explore how our staff felt about caring for LGBTQ+ young people.

PPE 98

PPE Research Emergency Department Urgent Care 98

The Skeptics' Guide to EM

JANUARY 22, 2022

Her vitals signs are all normal and she feels well enough to isolate at home. Their primary outcome was a ‘COVID-19 related’ urgent care visit, emergency department assessment, or hospitalization, and was significantly reduced in the budesonide arm (15% vs 3%, p=0.009). She is fully vaccinated against COVID-19.

Urgent Care 40

Urgent Care COPD Outcomes Emergency Department 40

PulmCCM

FEBRUARY 10, 2025

Apollo Study MeMed BV™ was also tested in the Apollo study (published 2024) enrolling 476 adults and children at EDs and urgent care centers in the U.S. With fewer excluded equivocal diagnoses, the test performed less well (reporting 90% sensitivity and 93% specificity for bacterial vs viral infection). Biomedicines.

Sepsis 52

Sepsis Urgent Care Emergency Department Pediatrics 52

Sensible Medicine

FEBRUARY 4, 2025

The exodus of primary care providers from the profession as well as the waning interest of trainees in the field has resulted in a crisis. Sick patients can no longer see their primary care doctor. They are routinely forced to see urgent care providers who lack any long term relationship with them.

Urgent Care 111

Urgent Care Stroke Wellness Outcomes 111