Trauma? in urgent care? You’d be surprised that what walks in our doors. Falls off the roof. Motor vehicle accidents (MVA). Concussions. TikTok accidents. No matter the source of trauma, patients often don’t know whether their injury requires an urgent care or ER visit. That’s where we come in. Cue the super hero music & don that cape (just kidding)
Quick side note: thanks to the educators over at HippoEd for continuing to collaborate with me on this 8-week mini-series on their Urgent Care Boot Camp CME. The glimpses of what I give you here are just a fraction of the whole course—which has seriously made me a better Urgent Care clinician in so many ways. As always, my series of lectures and content is free. However, be sure to check out the entire HippoEd UC Boot camp CME course: here. You get a $25 discount if you use my link--hey, anything helps :)
Where do I start?
Which patient do I transfer versus discharge?
Consider transfer if:
What is considered high risk mechanism?
Other important info to obtain:
Is there penetrating injury?—Protip: do not remove penetrating object
To CT or not? That is the question
Let’s be honest, there are a TON of different head CT rules and guidelines out there. Instead of list each guideline, I’ll direct you to: mdcalc. By far one of my most used apps on a daily basis. Did I mention it's free? You’re able to search any of these rules & calculate the score (yay!). As with any rule or guidelines, it is just a guideline-- your clinical gestalt always trumps any guideline/rule!
Common CT guidelines:
Are there signs of basilar skull fracture?
If your final diagnosis is concussion:
ATTENTION: Red flags
It is NOT a concussion if any of the following are present & these patients need to be transferred immediately:
We are nearing the end of this urgent care boot camp series. If you have any last requests, be sure to comment below or let me know on my Instagram. Also, if this series has helped you, let me know--always love hearing from you.
For now, I have a second part for the approach to trauma set for next week focusing on neck and abdomen