JUCM, The Journal of Urgent Care Medicine March 2008

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™ MARCH 2008 VOLUME 2, NUMBER 6 THE JOURNAL OF URGENT CARE MEDICINE® www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE FEATURES 11 Understanding Clinical Decision Rules Regarding Minor Traumatic Brain Injury 23 Bouncebacks: The Case of a 10-Year-Old Male with Eye Pain DEPARTMENTS 27 Insights in Images: Clinical Challenge 31 Health Law 34 Occupational Medicine 35 Coding Q&A 40 Developing Data A BRAVEHEART PUBLICATION Marketing Equipment for Sale CLOSING URGENT CARE CENTER – Every- thing for sale. Medical, lab, X-ray, office and oth- er furnishings as exam tables, EKG, CBC, X-ray, cabinets, pulse ox <a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 41" href="http://viewer.zmags.com/publication/5349c2ad?page=41">MarketingEquipment for SaleCLOSING URGENT CARE</a> MarketingEquipment for SaleCLOSING URGENT CARE<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 18" href="http://viewer.zmags.com/publication/5349c2ad?page=18">UNDERSTANDING CLINICAL DECISION RULES REGARDING M</a> UNDERSTANDING CLINICAL DECISION RULES REGARDING M<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 19" href="http://viewer.zmags.com/publication/5349c2ad?page=19">UNDERSTANDING CLINICAL DECISION RULES REGARDING M</a> UNDERSTANDING CLINICAL DECISION RULES REGARDING M<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 16" href="http://viewer.zmags.com/publication/5349c2ad?page=16">Plan B® is a registered trademark of Women’s Capi</a> Plan B® is a registered trademark of Women’s Capi<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 37" href="http://viewer.zmags.com/publication/5349c2ad?page=37">CODING Q&AReaders’ Coding Inquiries■ DAVI</a> CODING Q&AReaders’ Coding Inquiries■ DAVI<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 11" href="http://viewer.zmags.com/publication/5349c2ad?page=11">FROM THE EXECUTIVE DIRECTORThe Price of Succes</a> FROM THE EXECUTIVE DIRECTORThe Price of Succes<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 5" href="http://viewer.zmags.com/publication/5349c2ad?page=5">LETTER FROM THE EDITOR-IN-CHIEFStrength in Num</a> LETTER FROM THE EDITOR-IN-CHIEFStrength in Num<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 43" href="http://viewer.zmags.com/publication/5349c2ad?page=43"></a> <a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 20" href="http://viewer.zmags.com/publication/5349c2ad?page=20">Go digital for what you currently spend on conven</a> Go digital for what you currently spend on conven<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 32" href="http://viewer.zmags.com/publication/5349c2ad?page=32">PhysiciansImmediate CareBelvidere, ILPhysici</a> PhysiciansImmediate CareBelvidere, ILPhysici<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 35" href="http://viewer.zmags.com/publication/5349c2ad?page=35">Call forArticlesThe Journal of Urgent Care Medi</a> Call forArticlesThe Journal of Urgent Care Medi<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 40" href="http://viewer.zmags.com/publication/5349c2ad?page=40">CareerOpportunities</a> CareerOpportunities<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 34" href="http://viewer.zmags.com/publication/5349c2ad?page=34">HEALTH LAWPractices want competent providers to</a> HEALTH LAWPractices want competent providers to<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 25" href="http://viewer.zmags.com/publication/5349c2ad?page=25">BouncebacksThe Case of a 10-Year-Old Malewith</a> BouncebacksThe Case of a 10-Year-Old Malewith<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 17" href="http://viewer.zmags.com/publication/5349c2ad?page=17">UNDERSTANDING CLINICAL DECISION RULES REGARDING M</a> UNDERSTANDING CLINICAL DECISION RULES REGARDING M<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 8" href="http://viewer.zmags.com/publication/5349c2ad?page=8">JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West</a> JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase West<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 42" href="http://viewer.zmags.com/publication/5349c2ad?page=42">DEVELOPING DATAAseatnspemeceifrigcintog idtsi</a> DEVELOPING DATAAseatnspemeceifrigcintog idtsi<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 4" href="http://viewer.zmags.com/publication/5349c2ad?page=4">We are Committedto Urgent CareUnparalleled cu</a> We are Committedto Urgent CareUnparalleled cu<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 21" href="http://viewer.zmags.com/publication/5349c2ad?page=21">UNDERSTANDING CLINICAL DECISION RULES REGARDING M</a> UNDERSTANDING CLINICAL DECISION RULES REGARDING M<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 44" href="http://viewer.zmags.com/publication/5349c2ad?page=44">15stop missing out!Attend the exclusiv</a> 15stop missing out!Attend the exclusiv<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 28" href="http://viewer.zmags.com/publication/5349c2ad?page=28">THE CASE OF A 10-YEAR-OLD MALE WITH EYE PAIN</a> THE CASE OF A 10-YEAR-OLD MALE WITH EYE PAIN<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 13" href="http://viewer.zmags.com/publication/5349c2ad?page=13">ClinicalUnderstanding ClinicalDecision Rules Re</a> ClinicalUnderstanding ClinicalDecision Rules Re<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 3" href="http://viewer.zmags.com/publication/5349c2ad?page=3">Tussionex®Pennkinetic®</a> Tussionex®Pennkinetic®<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 9" href="http://viewer.zmags.com/publication/5349c2ad?page=9">LETTERS TO THE EDITORRegarding Our January Iss</a> LETTERS TO THE EDITORRegarding Our January Iss<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 36" href="http://viewer.zmags.com/publication/5349c2ad?page=36">OCCUPATIONAL MEDICINELearning to be Direct in</a> OCCUPATIONAL MEDICINELearning to be Direct in<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 14" href="http://viewer.zmags.com/publication/5349c2ad?page=14">UNDERSTANDING CLINICAL DECISION RULES REGARDING M</a> UNDERSTANDING CLINICAL DECISION RULES REGARDING M<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 12" href="http://viewer.zmags.com/publication/5349c2ad?page=12"></a> <a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 2" href="http://viewer.zmags.com/publication/5349c2ad?page=2">It’s Sunday evening, and her coughrequires an ur</a> It’s Sunday evening, and her coughrequires an ur<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 22" href="http://viewer.zmags.com/publication/5349c2ad?page=22">Open up and say, “Ah.”</a> Open up and say, “Ah.”<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 30" href="http://viewer.zmags.com/publication/5349c2ad?page=30">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 10" href="http://viewer.zmags.com/publication/5349c2ad?page=10">JUCM CONTRIBUTORSPatients with minor head inj</a> JUCM CONTRIBUTORSPatients with minor head inj<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 7" href="http://viewer.zmags.com/publication/5349c2ad?page=7">™The Official Publication of the Urgent Care A</a> ™The Official Publication of the Urgent Care A<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 6" href="http://viewer.zmags.com/publication/5349c2ad?page=6">)NTRODUCINGTHE(/34%$3/,54)/.FOR34)8</a> )NTRODUCINGTHE(/34%$3/,54)/.FOR34)8<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 39" href="http://viewer.zmags.com/publication/5349c2ad?page=39">CareerOpportunitiesSEATTLE, WASHINGTON – UR</a> CareerOpportunitiesSEATTLE, WASHINGTON – UR<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 24" href="http://viewer.zmags.com/publication/5349c2ad?page=24">UNDERSTANDING CLINICAL DECISION RULES REGARDING M</a> UNDERSTANDING CLINICAL DECISION RULES REGARDING M<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 29" href="http://viewer.zmags.com/publication/5349c2ad?page=29">INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac</a> INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 27" href="http://viewer.zmags.com/publication/5349c2ad?page=27">THE CASE OF A 10-YEAR-OLD MALE WITH EYE PAIN</a> THE CASE OF A 10-YEAR-OLD MALE WITH EYE PAIN<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 23" href="http://viewer.zmags.com/publication/5349c2ad?page=23">Powerfully Simple. With DocuTAP, super</a> Powerfully Simple. With DocuTAP, super<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 1" href="http://viewer.zmags.com/publication/5349c2ad?page=1">™ MARCH 2008</a> ™ MARCH 2008<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 33" href="http://viewer.zmags.com/publication/5349c2ad?page=33">HEALTH LAWWhat the Gray Haired NeverShared</a> HEALTH LAWWhat the Gray Haired NeverShared<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 31" href="http://viewer.zmags.com/publication/5349c2ad?page=31">ComprehensiveresultswithoutrestrictionsTh</a> ComprehensiveresultswithoutrestrictionsTh<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 15" href="http://viewer.zmags.com/publication/5349c2ad?page=15">Approved OTC for age 18 and olderPLAN B®—THE PR</a> Approved OTC for age 18 and olderPLAN B®—THE PR<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 38" href="http://viewer.zmags.com/publication/5349c2ad?page=38">CODING Q&A 1. Bill technical component only</a> CODING Q&A 1. Bill technical component only<a title="JUCM, The Journal of Urgent Care Medicine March 2008 page 26" href="http://viewer.zmags.com/publication/5349c2ad?page=26">THE CASE OF A 10-YEAR-OLD MALE WITH EYE PAIN</a> THE CASE OF A 10-YEAR-OLD MALE WITH EYE PAIN