Dr. Smith's ECG Blog

JUNE 21, 2023

In this medical system, the EMS provider can then be routed to the ED or to a type of urgent care facility that is open 24 hrs/day and staffed by a primary care provider. In this case, the EMS provider was routed to the urgent care facility. The ECG was also interpreted as normal by the primary care physician.

Urgent Care 98

Urgent Care EKG/ECG EMS Emergency Department 98

Emergency Medicine Journal

AUGUST 23, 2023

Results Seventeen patients and 15 relatives were interviewed, who described the experience of 32 attendances to the urgent CARE centre between them. Data analysis was performed using a six-step thematic analysis. Patients accessed the service for several reasons but over half were associated with falls.

Emergency Department 75

Emergency Department Urgent Care Hospitals 75

EB Medicine

NOVEMBER 1, 2023

15th)Check out the clinical pathways at [link] ([link]

Pediatrics 95

Pediatrics Point-of-Care Testing Urgent Care Emergency Department 95

Emergency Medicine Journal

APRIL 22, 2024

3–5 Specifically, Ramlakhan et al 3 found little evidence to support the implementation of colocated urgent care. 1 The availability of these services in the UK expanded in response to a 2017 budget commitment of £100 million to enhance A&E services including the colocation of on-site GP services.

Emergency Department 52

Emergency Department Urgent Care Hospitals 52

EB Medicine

DECEMBER 12, 2022

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the December 2022 Evidence-Based Urgent Care article on Influenza in Urgent Care.

Urgent Care 52

Urgent Care CDC Documentation/Coding 52

PEMBlog

JUNE 27, 2023

A very common pediatric summer complaint in emergency departments, urgent cares, and primary care offices, this episode covers common signs and symptoms, some pathophysiology, and recommended treatments.

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Urgent Care Pediatrics Emergency Department Hospitals 98

JournalFeed

APRIL 1, 2023

Yes Flu, No Abx Spoon Feed Patients at two separate urgent care locations—one with rapid influenza diagnostic testing (RIDT) and one without—were compared on several parameters. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.

Urgent Care 52

Urgent Care Dislocations 52

University of Maryland Department of Emergency Med

FEBRUARY 2, 2023

Otitis media is a common pediatric complaint seen in the primary care, urgent care, and ED settings. Recommendations for timing of treatment an. Click to view the rest

Pediatrics 40

Pediatrics Urgent Care 40

ALiEM

MARCH 22, 2024

She initially presented to urgent care with a chief complaint of chest heaviness and concern that her blood pressure was too high, but was sent to the emergency department for further cardiac and neurological evaluation after her urgent care provider noticed abnormal eye movement.

Stroke 67

Stroke Urgent Care Head Injuries Emergency Department 67

Advanced Medical Reviews

MARCH 2, 2022

Some physician practices shuttered and many saw marked declines in revenue; hospitals and health systems postponed many types of elective procedures; overworked doctors and nurses in overwhelmed urgent care and intensive care units switched gears to treat coronavirus patients; and telehealth rapidly became a primary source of care.

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Urgent Care Hospitals 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

Bagel slicing can be hazardous, so though I’d always emphasised safety, it wasn’t entirely surprising when my daughter cut her finger, requiring a trip to urgent care.

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Urgent Care 40

Urgent Care Ultrasounds

JULY 17, 2019

and 0.8) (1b) (Although the diagnostic standard of CXR quoted for these figures is hardly gold standard, and therefore the sensitivity of the signs may be overestimated) So what are we to do in urgent care when faced with an ambulatory patient with cough and fever but no auscultation findings?

Urgent Care 52

Urgent Care Ultrasounds Wellness Emergency Department 52

Emergency Medicine Journal

AUGUST 23, 2023

He was seen at an urgent care centre approximately 1 week prior to presentation, where he was diagnosed with cellulitis and prescribed trimethoprim-sulfamethoxazole. Case presentation A 57-year-old man with a history of recently diagnosed diabetes mellitus presented to the ED with 2 weeks of perineal pain and swelling.

Urgent Care 40

Urgent Care Ultrasounds 40

Urgent Care Ultrasounds

OCTOBER 7, 2020

This case is courtesy of Dr Nigel Tay, at the time an Urgent Care trainee from Auckland. The Case A man in his 70’s presented to the urgent care clinic with progressively worsening SOBOE over several months. This additional information expedited referral for definitive management.

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Urgent Care Ultrasounds Hospitals 40

The Skeptics' Guide to EM

JULY 27, 2019

A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings. A Multifaceted Intervention Improves Prescribing for Acute Respiratory Infection for Adults and Children in Emergency Department and Urgent Care Settings.

Urgent Care 52

Urgent Care Emergency Department Academics Pediatrics 52

Dr. Smith's ECG Blog

MARCH 13, 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. It woke him the next day and radiated into his back. He was only able to sleep while sitting in a chair.

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EKG/ECG Urgent Care Sepsis Wellness 92

The Skeptics' Guide to EM

OCTOBER 14, 2023

March 2023 * Population: Children 0-16 years recruited consecutively from October 2017 to September 2020 from three emergency departments and one urgent care centre in England- serving populations with significant inequalities in health and life expectancty. J Paediatr Child Health.

Pediatrics 98

Pediatrics Sepsis Urgent Care Emergency Department 98

Urgent Care Ultrasounds

JULY 4, 2018

It may not be as sexy as ECHO or lung ultrasound, but the right upper quadrant is a high yield POCUS application in urgent care. How often does a patient present with undifferentiated upper abdominal pain and the initial management is based only on the balance of clinical probabilities?

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Urgent Care Ultrasounds 40

PEMBlog

OCTOBER 17, 2023

She was seen at an urgent care the day prior to presentation, diagnosed with a viral exanthem, and discharged with oral prednisone. This case was submitted by… A 6-year-old previously healthy female was brought to your emergency department with extremity pain. 4 days earlier, she developed rhinorrhea, cough, and fever to Tmax 101F.

Urgent Care 69

Urgent Care Burns Pediatrics Emergency Department 69

Urgent Care Ultrasounds

SEPTEMBER 14, 2020

A 60 year old man presented to the urgent care clinic complaining of several hours of shortness of breath, a gurgling sensation in his chest, and a cough productive of frothy, blood stained sputum. Earlier that day he had been kitesurfing, and after crashing had not been able to raise his kite. He had been wearing a wetsuit.

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Urgent Care Ultrasounds Hospitals 40

Medical Law

SEPTEMBER 15, 2021

Telemedicine care means fewer patients in hospitals and emergency rooms. In non-urgent care situations, take advantage of telemedicine opportunities when available. On the other hand, if your injuries require urgent care, you can help keep yourself safe by: Wearing a medical grade, disposable mask.

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Telemedicine Urgent Care Head Injuries Hospitals 52

Downeast Emergency Medicine

DECEMBER 9, 2021

She was seen at urgent care the day prior for a worsening progressive cough, shortness of breath, and pleuritic right anterolateral chest pain. Her laboratory workup at urgent care was reviewed included the following labs (pertinent positives in parenthesis): CBC (WBC 12.6)

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Sepsis 52

The Skeptics' Guide to EM

JUNE 5, 2021

He also works at an urgent care and a rural critical access hospital. He also works at an urgent care and a rural critical access hospital. Garreth Debiegun is an emergency physician at Maine Medical Center in Portland, ME and clinical assistant professor with Tufts University School of Medicine.

Stroke 52

Stroke Urgent Care Critical Access Outcomes 52

ER Nurses

NOVEMBER 1, 2018

A new report conducted that surveyed 6000+ ER nurses has determined "eyeballing" patients in the waiting room was more effective in determining patients who needed the most urgent care.

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Urgent Care 40

Dr. Smith's ECG Blog

JANUARY 5, 2024

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 documentation does not describe any additional details of the history. ECG 1 What do you think?

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EKG/ECG Burns Urgent Care Documentation/Coding 115

ACEP Now

MAY 4, 2023

He had presented to urgent care for the same complaint a week before, but did not seek follow-up at an ED despite their recommendation. Case A 37-year-old white male with no past medical history presented to the emergency department (ED) for left testicular pain, redness, and swelling.

Urgent Care 52

Urgent Care Ultrasounds Sepsis Emergency Department 52

Urgent Care Ultrasounds

APRIL 1, 2018

POCUS reveals Hickam’s Dictum A 19 year old man presented to the urgent care clinic complaining of 2 months of increasing lethargy. He had been seen by his doctor the previous month with a cough and shortness of breath, thought to have been caused by a viral respiratory tract infection.

Urgent Care 52

Urgent Care Ultrasounds Hospitals 52

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 the STOIC trial (a phase 2, open-label, randomized trial), 146 outpatients in the U.K.

COPD 95

COPD Stroke Academics Urgent Care 95

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. She had noticed some mild SOB on exertion over the past few days when climbing stairs.

Ultrasounds 52

Ultrasounds Urgent Care Hospitals Wellness 52

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Pediatric Asthma Score (PAS) * Exclusion: Severe exacerbation (PAS >=12), systemic steroid use in the last two weeks, chronic lung disease (ie cystic fibrosis), or vomiting of two doses oral steroids in the ED * Intervention: Two-dose dexamethasone * Comparison: Single-dose dexamethasone * Outcome: * Primary Outcome: Return visits to either the (..)

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

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. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference.

Urgent Care 52

Urgent Care Pediatrics Poisoning Wellness 52

Urgent Care Ultrasounds

OCTOBER 24, 2018

The Case A young woman presented to the urgent care clinic following the onset of severe LUQ abdominal pain. It had started suddenly the previous evening when she had rolled over in bed. Two weeks prior she had been admitted to hospital for 4 days with hypotension, fever and abdominal pain related to acute EBV infection.

Ultrasounds 52

Ultrasounds Urgent Care Emergency Department Hospitals 52

Urgent Care Ultrasounds

JANUARY 17, 2019

She was brought down to the urgent care clinic for assessment. The Case A 70 year old woman had been waiting in the radiology department for an x-ray to be taken. After standing for some time, she started to feel light headed, then collapsed. Her ECG did not show any concerning features.

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Urgent Care Ultrasounds Radiology Radiology 40

The Skeptics' Guide to EM

OCTOBER 7, 2017

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. Intervention: Early supervised physiotherapy and usual care * Comparison: Usual care (medical assessment,

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Urgent Care Emergency Department Fractures Wellness 40

PulmCCM

NOVEMBER 18, 2021

Finally, a relatively small [n = 146] randomized, controlled trial in outpatients with no more than 7 days of COVID-19-related symptoms measured the effect of inhaled budesonide on urgent care utilization and symptom duration.

Urgent Care 40

Urgent Care Hospitals Stroke Wellness 40

The Skeptics' Guide to EM

APRIL 29, 2023

The effect of telemental versus in-person mental health consults in the emergency department on 30-day utilization and processes of care.

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. She reported that these symptoms started two days prior, shortly after consuming a fruit known as ackee. Since the onset of illness, she had been unable to tolerate any oral intake.

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Poisoning Administration Documentation/Coding Urgent Care 40