Pediatric Procedural Sedation: Practical Pearls for Keeping Kids Safe, Calm, and Still
Few situations in pediatric emergency medicine require as much preparation, adaptability, and situational awareness as procedural sedation.
Posts about Urgent Care
Let’s Talk About the Frozen Shoulder
It’s the middle of a busy shift when you walk into the room and find your patient cradling their shoulder, equal parts uncomfortable and frustrated. There’s no trauma, no clear inciting event, just a story that starts with mild pain a few weeks ago and has quietly progressed to the point where they can’t reach overhead, can’t get dressed without help, and can’t quite understand what went wrong. You run through the usual differential —...
Hemorrhoid Help in Urgent Care: What to Recommend When Your Patient Can’t Sit Comfortably
We’ve all been there. A patient shifts uncomfortably on the exam table, hesitating before admitting what brought them in: “I think I have…hemorrhoids.”
Sore Throat? Try McIsaac first before grabbing that swab!
It’s 9 a.m. in urgent care, and your next patient is here for a sore throat. They want a rapid strep test and antibiotics. But we all know that most sore throats are viral, and antibiotics won’t help. That’s exactly why clinical decision tools, such as the Centor and McIsaac criteria, matter. They guide testing decisions, help us avoid unnecessary antibiotics, and keep care efficient on a busy shift.
Why Is This Runner Always Tired? The Anemia You Might Be Missing…
You find the anemia first. Maybe it’s a low hemoglobin on a routine panel. Or a ferritin that makes you pause. But something doesn’t make sense. The patient is young and healthy, with no obvious sources of blood loss. So you ask a few more questions.
Recurrent Bacterial Vaginosis in Female Patients: New Guidance on Treating Male Partners
If you’ve ever treated the same female patient for bacterial vaginosis (BV) more times than you can count, you’re not alone. Recurrent BV is incredibly common. In fact, more than 50% of women experience a recurrence within six months of treatment. For clinicians, it's tough to manage. For our patients, it’s disruptive and frustrating. But there’s good news: recent research has provided us with promising results. And no, it’s not a new...
Who Chooses the Treating Clinician? Understanding Direction of Care
Occupational medicine is rarely a "one size fits all” approach. For clinics and clinicians operating across state lines, managing workers' compensation isn't just a clinical challenge; it is a regulatory maze.
Introducing Hippo Education’s Latest Video Course: Occupational Medicine Bootcamp
Picture this: you walk into a patient’s room with a chief complaint of lower back pain. Straightforward, right? Then the patient casually adds, “It started after I hurt my back at work.”
Lower Back Pain: Pearls, Pitfalls, and Practical Tips
Whether you are working in primary care, urgent care, or the emergency department, chances are you see a patient complaining of lower back pain during every shift. It’s one of the most common reasons patients seek care, but also a chief complaint that leads to over-testing, over-treating, and is one of the driving factors behind the opioid epidemic.
Pediatric Vomiting and Dehydration: When to Hydrate and When to Transfer
Pediatric vomiting is one of those classic urgent care visits that can look completely harmless or quietly concerning. The moment you walk into the room, you are already calculating hydration status, the likelihood of tolerating oral fluids, and whether this is a “treat here” situation or a “transfer now” one. Fortunately, most kids do extremely well with oral rehydration therapy when we choose the right candidates and set them up with a...
Legionnaires’ Disease and the Cluster Outbreak in NYC: Guidance for Clinicians
You're midway through a busy day when a patient walks in with “just another pneumonia” — fever, cough, perhaps shortness of breath. They mention recent travel to NYC. That should immediately raise the question: Could this be Legionnaires' disease?