Resources for Urgent Care

[lmchel]

I just switched into Urgent Care. I have 1 year of hospital medicine under my belt. I find myself getting stumped on some occasions, simply because I would treat the issue differently inpatient. 

Since I am feeling the learning curve, I am interested in what resources (books, journals, sites, etc.) my fellow PAs in UC use on a daily basis?

All suggestions are helpful! Thanks in advance 

 

[PAMEDIC]

I liked the book Minor Emergencies: Splinters to Fractures.

 

HippoEd's UC RAP is a good resource as well.

[Cideous]

The only book besides sanford (which I hardly use) that I carry to work every day.  Consider it the Urgent Care bible:

 

https://www.amazon.com/Minor-Emergencies-Expert-Consult-Online/dp/0323079091/ref=pd_lpo_sbs_14_img_0?_encoding=UTF8&psc=1&refRID=PE50GQ07N3YWTKQMN6EZ

 

 

Also please remember this rule of Urgent Care.....Stop/Don't order useless shit that the guy the next day has to deal with!  I come in and some whackjob AP has ordered all sorts of stupid blood work on a patient that I have to somehow interpret never having seen the patient.  Want to piss off everyone in UC you work with?  That's a good way to do it.

Remember, if someone is bad enough that you think they need "blood work"....send them to the ER.  UC is not Family Practice and it is not the ER.  Stay in your lane and treat+refer.   Either to a specialist, their PCP or the ED if you really are concerned about getting bloodwork.  This goes for the vast majority of UC's that have clia waved labs.  If you have cbc and chem machines onsite then knock yourself out.  Just don't order and dump on the guy or gal on the next shift.  

[sas5814]

100%!!

I work in a UC and we very very rarely order any send out anything and people that do order those tests tend to get calls at home on their days off. 

Hey about these stools studies you ordered? Here's the results. What would like to do with this patient? (Dumbass)

Fix em...refer em...or transfer em. That is all.

[quietmedic]

1. Read "Minor Emergencies". Then read it again.

https://www.amazon.com/Minor-Emergencies-Philip-Buttaravoli-FACEP/dp/0323007562/ref=sr_1_4?s=books&ie=UTF8&qid=1535075781&sr=1-4&keywords=minor+emergencies

2. Get a subscription to UpToDate!! and use it! Can't stress that enough

3. know your rules and criteria ( CENTOR, PERC, Canada head rules, Ottawa joint rules, croup score, etc...).

4. Get the EMRA antibiotic guide, it's great....far simpler than the overcooked Sanford manual, MUCH easier to use.

https://www.amazon.com/EMRA-Antibiotic-Guide-Brian-Levine/dp/1929854455/ref=sr_1_cc_1?s=aps&ie=UTF8&qid=1535075648&sr=1-1-catcorr&keywords=emra

5. EMRA also has a EM guidebook that's good for quick ddx thoughts.

https://www.amazon.com/Basics-Emergency-Medicine-3rd-Ed/dp/1929854471/ref=sr_1_cc_4?s=aps&ie=UTF8&qid=1535075648&sr=1-4-catcorr&keywords=emra