JUCM: The Journal of Urgent Care Medicine

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JUCM: The Journal of Urgent Care Medicine

Welcome to the Official page of The Journal of Urgent Care Medicine (JUCM) - www.jucm.com

The Journal of Urgent Care Medicine supports the evolution of urgent care medicine by creating content that addresses both the clinical practice of urgent care medicine and the practice management challenges of keeping pace with an ever-changing healthcare marketplace. As the official publication of the Urgent Care Association of America and the Urgent Care College of Physicians, JUCM seeks to pro

vide a forum for the exchange of ideas and to expand on the core competencies of urgent care medicine as they apply to physicians, physician assistants, and nurse-practitioners.

02/01/2025

New post added at Journal of Urgent Care Medicine - Norovirus Cases Surge Across The United States

Cases of norovirus are surging in some parts of the United States, with 91 outbreaks as of early December 2024, according to the Centers for Disease Control and Prevention (CDC). Norovirus is often transmitted through fresh food or water, and long-term care facilities, childcare centers, and cruise....

02/01/2025

New post added at Journal of Urgent Care Medicine - Use Virtual Care for Tonsillitis Triage, Not Treatment

Virtual appointments may not be the ideal channel for leveraging the Centor Criteria for tonsillitis, which calls for a clinician to check a patient for fever as well as tender and swollen lymph nodes. A cross-sectional study of 189 patients published in Infectious Diseases, analyzed digital assessm...

02/01/2025

New post added at Journal of Urgent Care Medicine - Flu Vaccine More Than 55% Effective in Recent Years

The effectiveness of the seasonal influenza vaccine for kids was more than 55% during the respiratory virus seasons from November 2015 to April 2020, according to a study in JAMA Network Open. The 15,728 US children ages 6 months to 17 years who were studied realized protection against emergency dep...

02/01/2025

New post added at Journal of Urgent Care Medicine - Racial Bias May Influence Identification of Potential Child Abuse

Most healthcare workers use vigilance when treating children with injuries that could signal a potential case of child abuse, but bias can influence perception. According to a study published in JAMA Network Open, Black children hospitalized for traumatic injuries are more likely to be suspected of....

02/01/2025

New post added at Journal of Urgent Care Medicine - Severe H5N1 Avian Influenza Case Shows Mutations After Infection

In mid-December, a case of H5N1 (avian influenza) in Louisiana was reported as the first instance of severe illness linked to the virus in the United States. The Centers for Disease Control and Prevention (CDC) has now sequenced the H5N1 virus in specimens collected from the patient in Louisiana who

02/01/2025

New post added at Journal of Urgent Care Medicine - Americans: US Healthcare System Is Worse Than Ever

Americans have given the US healthcare system a record-low quality rating, while 70% of respondents in a national survey also believe that the healthcare system at large has major problems or is in a state of crisis, according to a recent Gallup poll of more than 1,000 adults. Sentiment is

31/12/2024

New post added at Journal of Urgent Care Medicine - Urgent Care Considerations for the Patient with Suspected Rib Fracture

Urgent Message: Rib fractures most commonly occur after blunt chest injury. Consider serious associated injuries such as pneumothorax, hemothorax, and pulmonary contusion when assessing patients with suspected rib fractures. Ensuring appropriate analgesia is critical for reducing the risk of complic...

31/12/2024

New post added at Journal of Urgent Care Medicine - Uncovering the Unexpected: A Case of Chronic Cough in an Adolescent with an Unusual Etiology

Urgent Message: Chronic cough has a distinct differential diagnosis in different age groups. A cough lasting longer than 4 weeks in children and adolescents should prompt revision of the differential diagnosis to reduce delays in diagnosing serious etiologies. Daniel Moscato, MS, PA-C; Joshua W. Rus...

31/12/2024

New post added at Journal of Urgent Care Medicine - Comparing Outcomes for Outpatients Treated With Cephalexin for Uncomplicated Cystitis: Is QID Dosing Necessary?

Urgent Message: Patients commonly seek unscheduled care for urinary tract infections (UTIs). Cephalexin is among the most frequently prescribed antibiotics for acute UTI treatment, however, dosing regimens lack standardization. In this small observational study, similar rates of clinical cure and ad...

31/12/2024

New post added at Journal of Urgent Care Medicine - 16-Year-Old With Rash After Septoplasty

A 16-year-old girl presents to urgent care with complaints of fever, chills, and a diffuse sunburn-like rash that developed over the past day. The patient underwent septoplasty 2 days prior for a deviated septum, and nasal packing was utilized to manage her postoperative bleeding. On examination in....

31/12/2024

New post added at Journal of Urgent Care Medicine - 27-Year-Old with History of Asthma

A 27-year-old female with history of asthma presents to urgent care on a Friday morning with dyspnea for 1 day. She denies palpitations, syncope, or chest pain. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case

31/12/2024

New post added at Journal of Urgent Care Medicine - 29-Year-Old With Pain After Foot Inversion

A 29-year-old man presents to urgent care on a Saturday with pain in his left foot after playing tennis. A series of x-rays is ordered. Review the images below and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page. Differential Diagnosis....

31/12/2024

New post added at Journal of Urgent Care Medicine - Provider Compensation Increasing Since 2022

By comparing 2022 and 2024 hourly compensation data from the Urgent Care Association (UCA) Clinician Compensation Benchmarking Report, data shows that there has

31/12/2024

New post added at Journal of Urgent Care Medicine - It’s the Most Wonderful Time of the Year!

I hope you have had a wonderful holiday season and that your centers are full of patients…but also that you and your colleagues have managed to stay healthy! For the Urgent Care Association (UCA), the College of Urgent Care Medicine (CUCM), the Urgent Care College of Physicians (UCCOP), and the Ur...

31/12/2024

New post added at Journal of Urgent Care Medicine - Abstracts in Urgent Care - January 2025

Hematoma Blocks Effective for Closed Forearm Reduction Take Home Point: Hematoma blocks are an effective method of achieving analgesia to facilitate closed reduction of forearm fractures. Citation: Pitman G, Soeyland T, Popovic G, et al. Hematoma block is the most efficient technique for closed fore...

31/12/2024

New post added at Journal of Urgent Care Medicine - Managing Health Data Obsessive Disorder Presentation in Urgent Care

In a prior editorial, I described the case of Thomas, a young man among the “worried-well,” who presented to urgent care (UC) with anxiety related to an alarm that sounded as a result of a malfunction of a continuous glucose monitor (CGM), which was prescribed despite his lack of a

30/12/2024

New post added at Journal of Urgent Care Medicine - What’s New in Telemedicine for 2025?

Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC The American Medical Association (AMA) added a Telemedicine Services category to the Evaluation and Management (E/M) section of the Current Procedural Terminology (CPT) code set. Codes are divided up by the technology used and the patient type (ie, new...

26/12/2024

New post added at Journal of Urgent Care Medicine - Lawsuit Against One Medical Claims Poor Care Led to Patient’s Death

One Medical, under the Amazon umbrella since February 2023, is now facing a lawsuit related to the death of a patient who was treated virtually by a One Medical provider. The 45-year-old patient complained of shortness of breath, coughing up blood, and feet turning blue, according to reporting in th...

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