From the President of the College of Urgent Care Medicine As 2022 ends, I have a sense of déjà vu. Once again, we are facing high patient volumes across Urgent Care centers due to an early and severe influenza season as well as outbreaks of other upper respiratory infections including
From the Editors November 18-24 was highlighted by the CDC as U.S. Antibiotic Awareness Week (USAAW). Educational materials were made available online to highlight the dangers of antibiotic resistance and the principles of antibiotic stewardship for medical professionals, hospitals, long-term care facilities, and the public. UCA and CUCM supported the
Clinical Presentations—Case Study #1 How Much Should I Care About this EKG? Jennifer Carlquist, PA-C, ER CAQ Providers often wonder, “How much should I worry about this EKG?” We know how to pick up the big things like STEMI, but it is the gray area EKG findings that keep us
Clinical Presentations—Case Study #2 The Case of the Exploding Eye Socket Tracey Quail Davidoff, MD, FCUCM A 55-year-old male presents to Urgent Care following a slip and fall in the bathroom in a hotel room the day before. The patient reports that he struck the lateral side of his cheek
Clinical Presentations – Case Study #3 Rash with Hyperkalemia John George, PA-C. Go Health Urgent Care, New York A 67-year-old female with a past medical history of hypertension on lisinopril and no known drug allergies presents with a chief complaint of flu-like symptoms for two days. The patient stated she
Coding Corner Patient Presents Post ED Visit Due to No Established PCP Brad Laymon PA-C, CPC, CEMC Subjective A 49-year-old male (new patient) presents for evaluation after an ED visit 4 days ago. He went to the ED for headache, fatigue, and diaphoresis. He states he had blood work done,
Occupational Medicine Maintaining Your DOT Medical Examiner Certification in 2023 Max Lebow, MD, MPH, FACEP, FACPM Section Editor, Occupational Medicine FMCSA has announced plans to step up enforcement of the rules and regulations that govern the National Registry of Certified Medical Examiners. Certified Medical Examiners should regularly visit the FMCSA
Wound Management Suture Material: The Surgeon’s Knot and Knot Tying Patrick O’Malley, MD Section Editor, Wound Management There is a lot of confusion amongst clinicians when it comes to suture materials and their names. Terms such as monofilament, braided, and polypropylene get thrown around a lot, and we often do
Twenty Questions (And Answers) About Atrial Fibrillation (AF) Michael B. Weinstock, MD Brought to you by EM RAP and UC MAX How Common Is Atrial Fibrillation? Atrial fibrillation is the most common dysrhythmia in adults, present in 37% of those over the age of 55. Incidence increases with age. What
Best Practice from the College of Urgent Care Medicine Brief Resolved Unexplained Event (BRUE) Date Reviewed November 14, 2022 Subject Brief Resolved Unexplained Event (BRUE) Best Practices Patient Population Infants < 1 year of age Rationale Infants are frequently brought to Urgent Care Centers after an acute event of unexpected
Position Statement from the Clinical Response Committee of the College of Urgent Care Medicine Evaluation of Patients Presenting for Treatment When Required Care Is Outside the Scope the Urgent Care Center or Not Available Date 10/17/2022 Subject Evaluation of Patients Presenting for Treatment When Required Care Is Outside the Scope
Urgent Care Q&A December 2022 What Are the Indications for Chlamydia Infection Test of Cure at 4 Weeks Instead of 12 Weeks? CDC recommendations to retest all patients with documented chlamydial infection for C. trachomatis three months after treatment. Test of cure means diagnostic testing to assess whether the administered
Urgent Updates: December 2022 Extended Follow-up of Microbiome Therapeutic SER-109 Through 24 Weeks for Recurrent Clostridioides Difficile Infection (RCDI) In a Randomized Clinical Trial In a phase 3 trial (ECOSPOR III), SER-109, an investigational microbiome therapeutic composed of purified Firmicutes spores, was superior to placebo in reducing the rate of rCDI by
We would like to welcome the following new Fellows of the College of Urgent Care Medicine. These fellows represent the best of us who work every day to provide the highest quality of medicine and advance the specialty of Urgent Care Medicine. They should be honored for their dedication and
CONTINUING MEDICAL EDUCATION (CME) Target Audience This CME activity is intended for medical professionals who practice medicine in the on-demand space including Urgent Care, retail medicine and other similar venues. These providers may include physicians, nurse practitioners, and physician assistants. Designation Statement The Urgent Care Association (UCA) designates this enduring
