Urgent Caring – June 2022

FROM THE EDITORS

This edition of Urgent Caring lands right on the heels of the 2022 Annual Urgent Care Convention. If you were there you saw great educational content, a lot of new vendors, heard some great music –both classical violin and blues — did some networking and had an all-around good time. The Foundation Celebration and After Party did not disappoint. It was exhilarating to finally do something in person and not on a video screen or

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RECOGNIZING SEAN MCNEELEY, MD, FCUCM

In this edition of Urgent Caring’s Cause for Applause, we would like to recognize a member who has gone above and beyond for years for both The College of Urgent Care Medicine (CUCM) and the Urgent Care Association. Sean McNeeley, MD, FCUCM was one of the founding members of CUCM,

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WELCOME NEW BOARD MEMBERS

The UCA/CUCM conference in Las Vegas meant it was time for change in the Board of Directors of CUCM. Tracey Davidoff, MD, FCUCM, former Vice-President rotated off the board and Jasmeet Bhogal, MD, MBA is now Immediate Past-President. Chris Chao, MD, became President, Chrysa Charno, RPA-C, MBA, FCUCM advanced to

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URGENT CARE CASE STUDIES

CASE STUDY #1:  JAUNDICE IN AN ADULT FEMALE

Cesar Mora Jaramillo MD, FAAFP, FCUCM HISTORY: The patient is a 55-year-old female with past medical history of GERD and HTN, who presents to Urgent Care with 3 days of generalized pruritus without rash. She mentioned that her urine was dark for the past 1 week but denies any other

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CASE STUDY #2: RASH IN A YOUNG FEMALE

TRACEY DAVIDOFF, MD, FCUCM Dermadilemma# 2: What caused this rash in a 10-year-old girl?A 10-year-old female presents to the clinic with complaints of an itchy rash on her buttocks for 2 days. Hydrocortisone cream and oral diphenhydramine have been ineffective. She denies a history of allergies, using new soaps, or

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EXPERT INSIGHTS

Decisions related to neuroimaging for children with mild closed head injury (CHI) are complicated by the potential need for sedation and the inherent risk of radiation exposure. Depending on their age, children can be up to 10 times more radiosensitive than adults, and the risk of subsequent cancer deaths can be as high as 1:1000.

Click image above to enlarge

Click image above to enlarge

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BEST PRACTICE SUMMARY FROM THE COLLEGE OF URGENT CARE MEDICINE

Best Practice – Antibiotic Stewardship

Date Reviewed: May 20, 2022 Subject: Antibiotic Stewardship Best Practices Patient Population: Adults and children RationaleAntibiotic stewardship is necessary and important to reduce antimicrobial resistance rates, minimize potential side effects and improve patient outcomes. The focus is to measure and promote appropriate use of antibiotics by clinicians. It is critical

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IN THE NEWS

IN THE NEWS – MONKEYPOX

CHRIS CHAO, MD What is monkeypox?Monkeypox is an infectious disease in human beings that is caused by the monkeypox virus. The monkeypox virus is closely related to the smallpox and cowpox virus. It was first identified in 1958 during an outbreak among monkeys in research laboratories and recognized as a

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WOUND CARE UPDATE

MYTHS ABOUT WOUND IRRIGATION & HOW TO IMPROVE YOUR PRACTICE

PATRICK O’MALLEY, MD Irrigation of wounds is probably the most important thing we can do to prevent infection, so we must have a good understanding of this often overlooked and underappreciated component of laceration management. There are three components to consider – water type, volume, and pressure. Let’s look at

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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 material activity for a maximum of 3 AMA PRA Category 1 Credit(s) ™. Physicians should claim credits only commensurate with the extent of their participation in the activity. Credits may be claimed for one year from the date of release of this issue.

CME Objectives

  1. Provide updates on the diagnosis and treatment of clinical conditions commonly managed by on-demand providers
  2. Alert on-demand providers to potential unusual cases that may present to them
  3. Utilize tips and tricks to improve patient care in the on-demand space

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirement and policies of the Accreditation Council for Continuing Medical Education (ACCME) though the joint providership of the Urgent Care Association and the College of Urgent Care Medicine. UCA is accredited by the ACCME to provide continuing medical education for physicians.

CME Credit Instructions 

Once you have read the article, please log into your UCA profile. Once you are logged in go to Learn-> CME->Request CME. Complete the survey with the requested information for Urgent Caring. Your certificate will then be emailed to you within 3-5 business days. Please email learning@ucaoa.org with questions.

CUCM CME Planning Committee

Tracey Davidoff, MD, FCUCM
Reports no financial interest relevant to this newsletter

Chris Chao, MD
Reports no financial interest relevant to this newsletter

Cesar Mora Jaramillo, MD
Reports no financial interest relevant to this newsletter

Patrick O’Malley, MD
Reports no financial interest relevant to this newsletter

Keith Pochick, MD
Reports no financial interest relevant to this newsletter

Disclaimer

Medical practice and knowledge are constantly evolving and changing. This information is peer-reviewed but should not be your only source. Providers of care should use discretion when applying knowledge to any individual patient.

URGENT CARING STAFF MEMBERS

Urgent Caring Editors-in-Chief

Tracey Q. Davidoff, MD, FCUCM
Cesar Mora Jaramillo, MD, FAAFP, FCUCM

Occupational Medicine Section
Max Lebow, MD, MPH

Advancing the Specialty/Antibiotic Stewardship Section
Joseph Toscano, MD, FCUCM

Wound Management Section
Patrick O’Malley, MD

Administrator
Laurel Stoimenoff, PT, CHC

Publisher
Urgent Care Association

CUCM Board of Directors: Executive Committee
– Chris Chao, MD, President
– Chrysa Charno, PA-C, FCUCM, Vice-President
– Cesar Mora Jaramillo, MD, FAAFP, FCUCM, Treasurer
– Jasmeet Bhogal, MD, Immediate Past President