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™ JANUARY 2009<br />
VOLUME 3, NUMBER 4<br />
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THE JOURNAL OF URGENT CARE MEDICINE®<br />
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<br />
www.jucm.com | The Official Publication of the Urgent Care Association of America<br />
IN THIS ISSUE<br />
FEATURES<br />
13 Managing Foot Fractures<br />
in Urgent Care<br />
21 A 25-Year-Old Male with<br />
Tetanus<br />
34 Making a Case for Hospital<br />
Urgent Care<br />
38 The Search for the<br />
Urgent Care Center<br />
<br />
DEPARTMENTS<br />
25 Insights in Images:<br />
Clinical Challenge<br />
31 Abstracts in Urgent Care<br />
41 Occupational Medicine<br />
42 Coding Q&<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 1" href="http://viewer.zmags.com/publication/907dd7eb?page=1">™ JANUARY 2009 </a> ™ JANUARY 2009 <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 2" href="http://viewer.zmags.com/publication/907dd7eb?page=2">Get rid of the pink in a blink.*VIGAMOX® soluti</a> Get rid of the pink in a blink.*VIGAMOX® soluti<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 3" href="http://viewer.zmags.com/publication/907dd7eb?page=3">(moxifloxacin hydrochloride ophthalmicsolution) 0</a> (moxifloxacin hydrochloride ophthalmicsolution) 0<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 4" href="http://viewer.zmags.com/publication/907dd7eb?page=4">✓ FLEXIBLE✓ CUSTOMIZABLE✓ INTUITIVEORDINARY</a> ✓ FLEXIBLE✓ CUSTOMIZABLE✓ INTUITIVEORDINARY<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 5" href="http://viewer.zmags.com/publication/907dd7eb?page=5"> LETTER FROM THE EDITOR-IN-CHIEFCrisis in the E</a> LETTER FROM THE EDITOR-IN-CHIEFCrisis in the E<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 6" href="http://viewer.zmags.com/publication/907dd7eb?page=6">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 January 2009 page 7" href="http://viewer.zmags.com/publication/907dd7eb?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 January 2009 page 8" href="http://viewer.zmags.com/publication/907dd7eb?page=8">URGENT CARE UPDATE34 Making a Case forHospita</a> URGENT CARE UPDATE34 Making a Case forHospita<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 9" href="http://viewer.zmags.com/publication/907dd7eb?page=9">What do you do when a patient presentswith a fev</a> What do you do when a patient presentswith a fev<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 10" href="http://viewer.zmags.com/publication/907dd7eb?page=10"> JUCM CONTRIBUTORSW hen a patient st</a> JUCM CONTRIBUTORSW hen a patient st<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 11" href="http://viewer.zmags.com/publication/907dd7eb?page=11">JUCM CONTRIBUTORSing issues in urgent care? We </a> JUCM CONTRIBUTORSing issues in urgent care? We <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 12" href="http://viewer.zmags.com/publication/907dd7eb?page=12"> FROM THE EXECUTIVE DIRECTORIntegration■ LO</a> FROM THE EXECUTIVE DIRECTORIntegration■ LO<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 13" href="http://viewer.zmags.com/publication/907dd7eb?page=13"></a> <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 14" href="http://viewer.zmags.com/publication/907dd7eb?page=14"></a> <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 15" href="http://viewer.zmags.com/publication/907dd7eb?page=15">ClinicalManaging Foot Fracturesin Urgent Care</a> ClinicalManaging Foot Fracturesin Urgent Care<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 16" href="http://viewer.zmags.com/publication/907dd7eb?page=16">MANAGING FOOT FRACTURES IN URGENT CAREFigur</a> MANAGING FOOT FRACTURES IN URGENT CAREFigur<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 17" href="http://viewer.zmags.com/publication/907dd7eb?page=17">patient should not have any pain on ambulation or</a> patient should not have any pain on ambulation or<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 18" href="http://viewer.zmags.com/publication/907dd7eb?page=18">MANAGING FOOT FRACTURES IN URGENT CAREFigur</a> MANAGING FOOT FRACTURES IN URGENT CAREFigur<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 19" href="http://viewer.zmags.com/publication/907dd7eb?page=19">MANAGING FOOT FRACTURES IN URGENT CAREan os</a> MANAGING FOOT FRACTURES IN URGENT CAREan os<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 20" href="http://viewer.zmags.com/publication/907dd7eb?page=20">MANAGING FOOT FRACTURES IN URGENT CAREFigur</a> MANAGING FOOT FRACTURES IN URGENT CAREFigur<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 21" href="http://viewer.zmags.com/publication/907dd7eb?page=21">MANAGING FOOT FRACTURES IN URGENT CARE Th</a> MANAGING FOOT FRACTURES IN URGENT CARE Th<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 22" href="http://viewer.zmags.com/publication/907dd7eb?page=22">MANAGING FOOT FRACTURES IN URGENT CAREleg </a> MANAGING FOOT FRACTURES IN URGENT CAREleg <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 23" href="http://viewer.zmags.com/publication/907dd7eb?page=23">Case ReportA 25-Year-Old MalePresenting with Te</a> Case ReportA 25-Year-Old MalePresenting with Te<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 24" href="http://viewer.zmags.com/publication/907dd7eb?page=24">CASE REPORT: A 25-YEAR-OLD MALE PRESENTING WITH T</a> CASE REPORT: A 25-YEAR-OLD MALE PRESENTING WITH T<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 25" href="http://viewer.zmags.com/publication/907dd7eb?page=25">CASE REPORTtests are most helpful in exclud</a> CASE REPORTtests are most helpful in exclud<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 26" href="http://viewer.zmags.com/publication/907dd7eb?page=26">CASE REPORT: A 25-YEAR-OLD MALE PRESENTING WITH T</a> CASE REPORT: A 25-YEAR-OLD MALE PRESENTING WITH T<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 27" href="http://viewer.zmags.com/publication/907dd7eb?page=27"> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE </a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 28" href="http://viewer.zmags.com/publication/907dd7eb?page=28">INSIGHTS IN IMAGES: CLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 29" href="http://viewer.zmags.com/publication/907dd7eb?page=29">H.C. Chin, MDAnshin Medical HealthcareNew York,</a> H.C. Chin, MDAnshin Medical HealthcareNew York,<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 30" href="http://viewer.zmags.com/publication/907dd7eb?page=30"> Billers </a> Billers <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 31" href="http://viewer.zmags.com/publication/907dd7eb?page=31"> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE </a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 32" href="http://viewer.zmags.com/publication/907dd7eb?page=32">INSIGHTS IN IMAGES: CLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 33" href="http://viewer.zmags.com/publication/907dd7eb?page=33"> ABSTRACTS IN URGENT CAREOn Blood Cultures in t</a> ABSTRACTS IN URGENT CAREOn Blood Cultures in t<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 34" href="http://viewer.zmags.com/publication/907dd7eb?page=34">ABSTRACTS IN URGENT CARE [Published in J </a> ABSTRACTS IN URGENT CARE [Published in J <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 35" href="http://viewer.zmags.com/publication/907dd7eb?page=35">ABSTRACTS IN URGENT CAREThe management of unc</a> ABSTRACTS IN URGENT CAREThe management of unc<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 36" href="http://viewer.zmags.com/publication/907dd7eb?page=36">Urgent Care UpdateMaking a Case forHospital Ur</a> Urgent Care UpdateMaking a Case forHospital Ur<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 37" href="http://viewer.zmags.com/publication/907dd7eb?page=37">MAKING A CASE FOR HOSPITAL URGENT CAREA Sol</a> MAKING A CASE FOR HOSPITAL URGENT CAREA Sol<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 38" href="http://viewer.zmags.com/publication/907dd7eb?page=38">MAKING A CASE FOR HOSPITAL URGENT CARE </a> MAKING A CASE FOR HOSPITAL URGENT CARE <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 39" href="http://viewer.zmags.com/publication/907dd7eb?page=39">MAKING A CASE FOR HOSPITAL URGENT CARETable</a> MAKING A CASE FOR HOSPITAL URGENT CARETable<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 40" href="http://viewer.zmags.com/publication/907dd7eb?page=40">Urgent Care UpdateThe Search for theUrgent Car</a> Urgent Care UpdateThe Search for theUrgent Car<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 41" href="http://viewer.zmags.com/publication/907dd7eb?page=41">THE SEARCH FOR THE URGENT CARE CENTERcided</a> THE SEARCH FOR THE URGENT CARE CENTERcided<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 42" href="http://viewer.zmags.com/publication/907dd7eb?page=42">THE SEARCH FOR THE URGENT CARE CENTERTabl</a> THE SEARCH FOR THE URGENT CARE CENTERTabl<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 43" href="http://viewer.zmags.com/publication/907dd7eb?page=43"> OCCUPATIONAL MEDICINEWhat, When, Who, and How </a> OCCUPATIONAL MEDICINEWhat, When, Who, and How <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 44" href="http://viewer.zmags.com/publication/907dd7eb?page=44"> CODING Q&ADetermining New vs. EstablishedPat</a> CODING Q&ADetermining New vs. EstablishedPat<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 45" href="http://viewer.zmags.com/publication/907dd7eb?page=45"> HEALTH LAWEMTALA and Transferring Patientsto </a> HEALTH LAWEMTALA and Transferring Patientsto <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 46" href="http://viewer.zmags.com/publication/907dd7eb?page=46">HEALTH LAWtransfer, unless the ED is closed to </a> HEALTH LAWtransfer, unless the ED is closed to <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 47" href="http://viewer.zmags.com/publication/907dd7eb?page=47">PHYSICIAN - Urgent Care, Occupational Medicine, </a> PHYSICIAN - Urgent Care, Occupational Medicine, <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 48" href="http://viewer.zmags.com/publication/907dd7eb?page=48">CareerOpportunitiesUrgent Care OpportunityNew</a> CareerOpportunitiesUrgent Care OpportunityNew<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 49" href="http://viewer.zmags.com/publication/907dd7eb?page=49">Doctor's Walk-In Clinic Tampa Bay area has o</a> Doctor's Walk-In Clinic Tampa Bay area has o<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 50" href="http://viewer.zmags.com/publication/907dd7eb?page=50"> DEVELOPING DATAInGenaerlryal2H00o8sp, iUtaClA</a> DEVELOPING DATAInGenaerlryal2H00o8sp, iUtaClA<a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 51" href="http://viewer.zmags.com/publication/907dd7eb?page=51"></a> <a title="JUCM, The Journal of Urgent Care Medicine January 2009 page 52" href="http://viewer.zmags.com/publication/907dd7eb?page=52">02!#4)#% 6%,/#)49š5RGENTå#AREå3OLUTIONSš</a> 02!#4)#% 6%,/#)49š5RGENTå#AREå3OLUTIONSš