JUCM, The Journal of Urgent Care Medicine October 2006

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UrgentCareMedicine ™ The Journal of www.jucm.com The Official Publication of the Urgent Care Association of America OCTOBER 2006 FEATURES 13 Syncope: Evaluation and Management in PREMIE an Urgent Care Setting ISSUE 27 Healthcare in the Express Lane: The Emergence of Retail Clinics DEPARTMENTS 22 Abstracts in Urgent Care 24 Insights in Images 34 Health Law 36 Occupational Medicine 37 Coding Q&A 40 Developing Data R A BRAVEHEART PUBLICATION Healthcare in the Express Lane: The Emergence of Retail Clinics Urgent message: Retail-based healthcare clinics are a growing phenom- enon. A report from the Californi <a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 30" href="http://viewer.zmags.com/publication/f912c239?page=30"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 29" href="http://viewer.zmags.com/publication/f912c239?page=29">Healthcare in the Express Lane:The Emergence of</a> Healthcare in the Express Lane:The Emergence of<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 16" href="http://viewer.zmags.com/publication/f912c239?page=16">SYNCOPE: EVALUATION AND MANAGEMENT IN AN URGENT C</a> SYNCOPE: EVALUATION AND MANAGEMENT IN AN URGENT C<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 43" href="http://viewer.zmags.com/publication/f912c239?page=43">LEVAQUIN® (levofloxacin) TABLETS</a> LEVAQUIN® (levofloxacin) TABLETS<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 18" href="http://viewer.zmags.com/publication/f912c239?page=18">Tussionex</a> Tussionex<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 44" href="http://viewer.zmags.com/publication/f912c239?page=44">Indications:* LEVAQUIN is indicated for adult</a> Indications:* LEVAQUIN is indicated for adult<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 5" href="http://viewer.zmags.com/publication/f912c239?page=5">LETTER FROM THE EDITOR-IN-CHIEFThe Evolution o</a> LETTER FROM THE EDITOR-IN-CHIEFThe Evolution o<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 3" href="http://viewer.zmags.com/publication/f912c239?page=3">(moxiﬂoxacin hydrochloride ophthalmic solution) 0</a> (moxiﬂoxacin hydrochloride ophthalmic solution) 0<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 13" href="http://viewer.zmags.com/publication/f912c239?page=13">JUCM CONTRIBUTORS</a> JUCM CONTRIBUTORS<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 41" href="http://viewer.zmags.com/publication/f912c239?page=41">Career OpportunitiesARKANSAS Urgent Care o</a> Career OpportunitiesARKANSAS Urgent Care o<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 31" href="http://viewer.zmags.com/publication/f912c239?page=31">HEALTHCARE IN THE EXPRESS LANE: THE EMERGENCE OF</a> HEALTHCARE IN THE EXPRESS LANE: THE EMERGENCE OF<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 14" href="http://viewer.zmags.com/publication/f912c239?page=14"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 8" href="http://viewer.zmags.com/publication/f912c239?page=8">JUCM EDITORIAL BOARDTanise Edwards, MD, FAAEMA</a> JUCM EDITORIAL BOARDTanise Edwards, MD, FAAEMA<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 1" href="http://viewer.zmags.com/publication/f912c239?page=1">UrgentCareMedicine</a> UrgentCareMedicine<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 20" href="http://viewer.zmags.com/publication/f912c239?page=20">SYNCOPE: EVALUATION AND MANAGEMENT IN AN URGENT C</a> SYNCOPE: EVALUATION AND MANAGEMENT IN AN URGENT C<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 39" href="http://viewer.zmags.com/publication/f912c239?page=39">CODING Q&AEvaluation and Management:Coding De</a> CODING Q&AEvaluation and Management:Coding De<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 6" href="http://viewer.zmags.com/publication/f912c239?page=6">“ You knew, early on, that digital</a> “ You knew, early on, that digital<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 27" href="http://viewer.zmags.com/publication/f912c239?page=27">INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac</a> INSIGHTS IN IMAGESCLINICAL CHALLENGEIn eac<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 9" href="http://viewer.zmags.com/publication/f912c239?page=9"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 2" href="http://viewer.zmags.com/publication/f912c239?page=2">Pink eye can run wild.Get it under control fast.</a> Pink eye can run wild.Get it under control fast.<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 21" href="http://viewer.zmags.com/publication/f912c239?page=21">Laboratory/ImagingAncillary testing rarely pro-</a> Laboratory/ImagingAncillary testing rarely pro-<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 26" href="http://viewer.zmags.com/publication/f912c239?page=26">INSIGHTS IN IMAGES: CASE REPORTPneumomediastin</a> INSIGHTS IN IMAGES: CASE REPORTPneumomediastin<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 11" href="http://viewer.zmags.com/publication/f912c239?page=11">FROM THE EXECUTIVE DIRECTORThis is an Exciting</a> FROM THE EXECUTIVE DIRECTORThis is an Exciting<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 22" href="http://viewer.zmags.com/publication/f912c239?page=22">SYNCOPE: EVALUATION AND MANAGEMENT IN AN URGENT C</a> SYNCOPE: EVALUATION AND MANAGEMENT IN AN URGENT C<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 24" href="http://viewer.zmags.com/publication/f912c239?page=24">ABSTRACTS IN URGENT CAREOn Croup, Wet Sutures,</a> ABSTRACTS IN URGENT CAREOn Croup, Wet Sutures,<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 36" href="http://viewer.zmags.com/publication/f912c239?page=36">HEALTH LAWCOMPLICATIONS: InformedConsent and</a> HEALTH LAWCOMPLICATIONS: InformedConsent and<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 38" href="http://viewer.zmags.com/publication/f912c239?page=38">OCCUPATIONAL MEDICINEDeveloping a MarketingMi</a> OCCUPATIONAL MEDICINEDeveloping a MarketingMi<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 32" href="http://viewer.zmags.com/publication/f912c239?page=32">HEALTHCARE IN THE EXPRESS LANE: THE EMERGENCE OF</a> HEALTHCARE IN THE EXPRESS LANE: THE EMERGENCE OF<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 23" href="http://viewer.zmags.com/publication/f912c239?page=23">factors suffered identifiable dysrhythmias or dea</a> factors suffered identifiable dysrhythmias or dea<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 42" href="http://viewer.zmags.com/publication/f912c239?page=42">DEVELOPING DATAU CAOA'S SURVEY COMMITTEE</a> DEVELOPING DATAU CAOA'S SURVEY COMMITTEE<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 4" href="http://viewer.zmags.com/publication/f912c239?page=4"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 15" href="http://viewer.zmags.com/publication/f912c239?page=15">SyncopeEvaluation and Managementin an Urgent C</a> SyncopeEvaluation and Managementin an Urgent C<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 25" href="http://viewer.zmags.com/publication/f912c239?page=25">ABSTRACTS IN URGENT CAREEffects of a Fast-tra</a> ABSTRACTS IN URGENT CAREEffects of a Fast-tra<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 19" href="http://viewer.zmags.com/publication/f912c239?page=19">syncope. Instead, atypical seizures may initially</a> syncope. Instead, atypical seizures may initially<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 12" href="http://viewer.zmags.com/publication/f912c239?page=12">FROM THE PRESIDENTOnward and Upward■ WILLI</a> FROM THE PRESIDENTOnward and Upward■ WILLI<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 10" href="http://viewer.zmags.com/publication/f912c239?page=10">MEET THE JUCM BOARDSJUCM wants to ensure that</a> MEET THE JUCM BOARDSJUCM wants to ensure that<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 28" href="http://viewer.zmags.com/publication/f912c239?page=28">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 7" href="http://viewer.zmags.com/publication/f912c239?page=7">The Official Publication of the Urgent Care Assoc</a> The Official Publication of the Urgent Care Assoc<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 34" href="http://viewer.zmags.com/publication/f912c239?page=34">HEALTHCARE IN THE EXPRESS LANE: THE EMERGENCE OF</a> HEALTHCARE IN THE EXPRESS LANE: THE EMERGENCE OF<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 35" href="http://viewer.zmags.com/publication/f912c239?page=35">of MinuteClinic, says, “In established markets, w</a> of MinuteClinic, says, “In established markets, w<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 40" href="http://viewer.zmags.com/publication/f912c239?page=40">Call forArticlesThe Journal of Urgent Care Medi</a> Call forArticlesThe Journal of Urgent Care Medi<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 17" href="http://viewer.zmags.com/publication/f912c239?page=17">When cough shows up inyour urgent care center...</a> When cough shows up inyour urgent care center...<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 37" href="http://viewer.zmags.com/publication/f912c239?page=37">HEALTH LAWtreated without consent, since consen</a> HEALTH LAWtreated without consent, since consen<a title="JUCM, The Journal of Urgent Care Medicine October 2006 page 33" href="http://viewer.zmags.com/publication/f912c239?page=33"></a>