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Society for Pediatric Urgent Care

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Society for Pediatric Urgent Care

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Eli Lilly’s hypoglycemia treatment wins FDA approval

November 19, 2019 By Donna Pendarvis

(Reuters) – The U.S. Food and Drug Administration approved Eli Lilly and Co’s treatment for severe hypoglycemia, the health regulator said on Wednesday. Hypoglycemia is a condition in which blood sugar falls to dangerously low levels. Severe hypoglycemia typically occurs in people with diabetes who are using insulin treatment, the FDA said and noted that the therapy – Baqsimi – is approved to treat the severe form of the condition in patients with diabetes aged four and older.  Full article

Filed Under: Reading Room

Trends in Cough and Cold Medicine Recommendations for Children in the United States

November 19, 2019 By Donna Pendarvis

Trends in Cough and Cold Medicine Recommendations for Children in the United States, 2002-2015

Daniel B. Horton, MD, MSCE1,2,3; Tobias Gerhard, PhD2,3,4; Brian L. Strom, MD, MPH2,5,6
JAMA Pediatr. 2019;173(9):885-887. doi:10.1001/jamapediatrics.2019.2252
Respiratory infections are extremely common pediatric illnesses, and families frequently treat children with cough and cold medicines (CCM). In 2008, the US Food and Drug Administration (FDA) recommended that children younger than 2 years not use over-the-counter (OTC) CCM given concerns about efficacy and safety.1 Soon thereafter, manufacturers voluntarily relabeled CCM for children 4 years and older,1 and the American Academy of Pediatrics recommended avoiding CCM in children younger than 6 years. Subsequent national US utilization studies through 2010 showed equivocal effects on pediatric CCM use.2,3 We studied trends over a broader timeframe in physicians’ recommendations for CCM and, for comparison, antihistamines in the US pediatric population.  Read more

Filed Under: Reading Room

Communicating About Vaccines in a Fact-Resistant World

November 19, 2019 By Donna Pendarvis

Saad B. Omer, MBBS, MPH, PhD1; Avnika B. Amin, MSPH1; Rupali J. Limaye, PhD2
Author Affiliations
JAMA Pediatr. 2017;171(10):929-930. doi:10.1001/jamapediatrics.2017.2219
The continued success of vaccines, one of the most effective public health interventions, depends on high rates of acceptance. Vaccine refusal in the United States has increased since the late 1990s.1 This trend has coincided with an increase in vaccine safety concerns. Such concerns result from easy recall of adverse events, misinformation, and human tendency to poorly judge probabilities. When a significant proportion of the US population is impervious to scientific facts, such as belief in human-induced climate change, it is difficult to communicate vaccine-related information to patients.
Full article

Filed Under: Reading Room

New Approaches to cut Antibiotic Overuse

November 19, 2019 By Donna Pendarvis

(SACRAMENTO) — A UC Davis study of nine emergency departments and urgent care centers in California and Colorado found educating physicians and patients about safe antibiotic use can cut overuse by one-third.

The study, funded under a contract from the U.S. Centers for Disease Control and Prevention (CDC), appears in June 19 in the journal Academic Emergency Medicine. Read more about the study here.

Filed Under: Reading Room

Head and Face Injuries on the Rise from Motor Scooter Accidents

November 19, 2019 By Donna Pendarvis

The best way to prevent an injury is to wear a helmet.  So why are so many children and adults not wearing them.  Head and face injuries from motorized scooters have tripled over the past decade. Nearly 2/3 of the injured were not wearing helmets.  Check out results from one recent study. 

 

Filed Under: Reading Room

Annals of Emergency Medicine

November 19, 2019 By Donna Pendarvis

Article in Annals of Emergency Medicine offers insight on what themes contribute to 5 star urgent care Yelp reviews – comfort, professionalism, facilities, pediatric care, and staff interactions VS

https://bit.ly/2RWmi4Z

Filed Under: Reading Room

Vaccine-related, -unrelated febrile seizures have similar outcomes

November 19, 2019 By Donna Pendarvis

Few children experience vaccine-proximate febrile seizures, or VP-FS, but those who do have similar outcomes compared with children who experience febrile seizures that did not occur after vaccination, according to research published in Pediatrics.

Read More

Filed Under: Reading Room

Almost Half of Young Asthma Patients Misuse Inhalers

November 19, 2019 By Donna Pendarvis

Many children with asthma don’t use their inhalers properly and don’t get a full dose of medicine, researchers report.

They evaluated inhaler use among 113 children between the ages of 2 and 16 who were hospitalized for asthma. Such patients are at highest risk for complications and death from asthma.

At least one crucial step in inhaler technique was missed by 42% of the children. About 18% did not use a spacer device with their inhaler. A spacer is a device that’s recommended for use with an inhaler to help the right amount of asthma medication reach the lungs.

Read the article here

Filed Under: Reading Room

Preventing Medication Errors in the Urgent Care Center

November 19, 2019 By Donna Pendarvis

Urgent message: Medications can heal, but they can also be deadly. That’s why protocols and controls, supported by rigorous and frequent documentation, are needed to reduce the possibility of medication errors in the urgent care setting.

The most recent 10-year study on medical errors by the Institute of Medicine of the National Academies (sponsored by The Centers for Medicare and Medicaid Services) found that medication errors are by far the most common medical errors, harming at least 1.5 million people every year. These medication errors lead to what’s known clinically as adverse drug events (ADE), defined as harm experienced by patients as a result of exposure to a medication. So, the charge for the urgent care leader is, have your staff take a hard look at the medication practices in your center, then answer the question: Is your center part of the problem, or the solution?

Read complete article here in the Journal of Urgent Care Medicine

Filed Under: Reading Room

Pediatric Referrals to an Emergency Department From Urgent Care Centers

November 19, 2019 By Donna Pendarvis

Check out this study used to help describe pediatric emergency department (ED) referrals from urgent care centers and to determine the percentage of referrals considered essential and serious.

The study was conducted between April 2013 and April 2015 on patients younger than 21 years referred directly to an ED in central Pennsylvania from surrounding urgent care centers. Referrals were considered essential or serious based on investigations/procedures performed or medications/consultations received in the ED.

https://www.ncbi.nlm.nih.gov/pubmed/27753717

Filed Under: Reading Room

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