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2046 'Call before Convey - Delivering urgent care for patients in the right place with the right clinician, first time

Emergency Medicine Journal

Aims and Objectives Aim: Ensure patients have timely access to the right urgent care, in the right place with the right clinician. Many people access urgent care via the emergency department (ED) resulting in poor patient experience, delays to care and duplication, also causing overcrowding, leading to harm.

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Friday Reflection 45: Patients

Sensible Medicine

Well, not never. The woman who seemed impossible when you first met her but now brings you joy when the urgent care doctor calls and asks, “How have you taken care of this lady for 15 years?” The woman whose depression dominates every visit; her depression being the one problem she refuses to address.

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Case 20 – Stethoscopically occult pneumonopathies

Urgent Care Ultrasounds

On examination she appeared well, t = 38.0. She had had a cough for the past month but has been otherwise well. She appeared well. Otherwise well patients presenting with cough and fevers from 1-5 days duration, and no signs on chest auscultation. She had been seen 3 days before and diagnosed with a viral illness.

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Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." In fact, all the T waves are more upright than his prior urgent care ECG. The distal LCx is seen, and the OM is not well visualized here. The following ECG was obtained.

EKG/ECG 110
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A man in his 40s with 3 days of stuttering chest pain

Dr. Smith's ECG Blog

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. A third hsTnI was 17809 ng/L, and the patient was started on IV heparin as well as sublingual and IV nitroglycerin.

EKG/ECG 88
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The Latest in Critical Care, 9/28/23 (Issue #15)

PulmCCM

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 79
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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

The Wells’ Criteria for DVT can help risk stratify [2,3]. If the patient’s Wells score is ≤ 0, DVT is nearly clinically excluded and no further immediate lab or ultrasound is necessary. In patients with a Wells’ score of 1-2 (moderate risk), DVT can be ruled out with a negative d-dimer rather than an US.