Urgent care flow
Life in the Fast Lane
NOVEMBER 12, 2023
Stevan Bruijns Urgent care flow Speaking urgent care flow fluently - to highlight some important new ideas and provide a fresh perspective on old concepts.
Urgent Care Related Topics 
Speaking urgent care flow fluently
St. Emlyn
NOVEMBER 14, 2023
St.Emlyn's - Emergency Medicine #FOAMed Simplifying urgent care data translation is essential for hospital flow improvement. The post Speaking urgent care flow fluently appeared first on St.Emlyn's. This post provides a perspective on how to achieve this.
Urgent Care 
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A podcast for patients and families on deciding between the ED and Urgent Care
PEMBlog
MAY 26, 2023
It provides succinct recommendations on when to call 911, seek care in the Emergency Department or Urgent Care, when to ask the advice of your primary care provider, and even when virtual urgent care visits are appropriate. Listen today so you’re ready for anything that may happen tomorrow!
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Lactation – A brief guide for the emergency provider
EM Ottawa
OCTOBER 26, 2023
You are seeing your next patient in urgent care, a 35-year-old female with a wrist injury who has been waiting for 6-hours. After sending her for an x-ray and offering pain control in the ED, she tells you she is 3-months post-partum and is currently nursing.
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Pediatric UTI and Pneumonia
EB Medicine
JANUARY 2, 2024
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the January 2024 Pediatric Emergency Medicine Practice article, Management of Pediatric Urinary Tract Infections in the Emergency Department , and the January 2024 Evidence Based Urgent Care article on Pediatric Community-Acquired Pneumonia: Diagnosis and Management in the Urgent Care Setting. (..)
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GP patients in the emergency department
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.
A man in his 50s with acute chest pain who is lucky to still be alive.
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.
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Pediatric DKA and HHS
EB Medicine
NOVEMBER 1, 2023
15th)Check out the clinical pathways at [link] ([link]
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Evaluating a new emergency department avoidance service for older people: patient and relative experiences
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.
Influenza
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.
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Stings and envenomations – a buzz-worthy podcast
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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SAEM Clinical Images Series: Seeing Double
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.
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Yes Flu, No Abx | Robot Assisted Reductions
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.
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Pediatric Otitis Media, just give amox, right?
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
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The Current Status of Value-Based Care in the U.S.
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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Does she speak English?
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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Point-of-care ultrasound for the diagnosis of Fournier gangrene
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.
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Case 20 – Stethoscopically occult pneumonopathies
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?
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Case 22 – New dog, new tricks
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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A man in his 40s with 3 days of stuttering chest pain
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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SGEM#263: Please Stop, Prescribing – Antibiotics for Viral Acute Respiratory Infections
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.
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SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs
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.
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New Page – Gallstones or Gastritis
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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PEMPix 2023 Online Case 2: Walk Softly
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.
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Case 21 – Taking the wind from your sail
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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Getting Treatment With Delta Fears
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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Ultrasound of the Month - Not all veggies are good for your health
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)
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SGEM#333: Do you gotta be starting something – like tPA before EVT?
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.
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Eyeballing Better than Testing in ER
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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Three normal high sensitivity troponins over 4 hours with a "normal ECG"
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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Case Report: A Rare, Urgent Testicular Complication
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.
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Case 14 – The chicken or the egg?
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.
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The Latest in Critical Care, 9/28/23 (Issue #15)
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.
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Case 19 – Through the looking glass
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.
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PEMPix 2023 Online Case 4: You Can’t Get Fooled Again
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.
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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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Case 17 – The Beaver’s Tail
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.
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Case 18 – Echoherniography
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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SGEM#191: No Time for Physio – Roll With It
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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PRINCIPLE Investigators Study Inhaled Budesonide for COVID-19
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.
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SGEM#402: Call Me – On the Telemental Health Line
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.
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40 2046 'Call before Convey - Delivering urgent care for patients in the right place with the right clinician, first time
Emergency Medicine Journal
NOVEMBER 28, 2023
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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Reference ranges of paediatric heart rate and respiratory rate
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.
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SGEM#357: COVID it’s Getting Harder and Harder to Breathe but will Budesonide Help?
The Skeptics' Guide to EM
JANUARY 22, 2022
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). It did report positive results.
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