What email address or phone number would you like to use to sign in to Docs.com?
If you already have an account that you use with Office or other Microsoft services, enter it here.
Or sign in with:
Signing in allows you to download and like content, and it provides the authors analytical data about your interactions with their content.
Embed code for: This is it - Sanni Lecture
Select a size
EMERGENCY vs. URGENCY
IS THERE A DIFFERENCE ?
Dr. Howard J. Kass
Turning Stone September 9, 2016
At the Front Desk
●Assess patient’s problem to determine if and how soon patient needs seen
●Done over phone or if patient walks into clinic or office
●Need to decide if problem is emergent, urgent, or routine
What to ask the patient
Got something in eye, pain, redness, foreign body sensation, floaters, flashes, double vision, etc.
How long have you had these symptoms and are they worsening
Are you receiving any treatment
Did someone refer you to our office
Your insurance carrier
Your age, gender and any systemic medication your are taking
The most common Emergent; Urgent and Routine exam there is?
I think that I am having a RETINAL DETACHMENT
Bread and Butter office visit
Requires immediate action
Come to clinic or go to ER same day
Requires patient be seen within 24-36 hours
Requires patient to be seen within few days to a week
a serious, unexpected, and often dangerous situation requiring immediate action:
"your quick response in an emergency could be a lifesaver"
synonyms: crisis · urgent situation · extremity · exigency · accident ·
disaster · catastrophe · calamity · difficulty · plight · predicament · danger
The Red Eye is perfect for that morning pick me up, on the day after the night before. It also makes a great drink for a weekend brunch. This is a real “pick me up” drink.
1 ounce vodka
6 ounces chilled tomato juice
12 ounces chilled beer
1 egg, whole
1.In a 20 ounce mug, add vodka, followed by tomato juice.
2.Gently pour the beer from a bottle or can into the mug. Try not to make any foam.
3.Crack the egg and drop its contents into the mug. The egg will settle to the bottom. Do no stir or mix.
What is the main difference between Emergency and Urgency –
The real definition is TIME
*How long can you wait
*Is it life or visually threatening
*Do I need to attend to it immediately
ARE ANY OF THESE RELEVANT TO THIS PRESENTATION – I'M NOT SURE EITHER!
Visual Field Loss
IS THIS A ROUTINE VISIT
Patient with foreign body complaint following ER visit
ARE THESE PHOTOS THE SAME AS WE HAVE JUST VIEWED
WHAT IS THIS ? IS THIS AN EMERGENCY OR URGENCY ?
Gastric Bypass & Type 2
WHERE ARE THOSE SHEARS THAT
I WAS JUST USING?
*Immediately following a Valsalva maneuver, a sudden rise in intraocular venous pressure causes retinal capillaries to spontaneously rupture. The prognosis for Valsalva retinopathy is generally good
Car Accident last week – maybe I should not have waited so long
Ischemic optic neuropathy -? Giant Cell arteritis
Central Retina artery occlusion
Yes or No ???
The Center for Sight – it's a Cool Place
Macular on – Retinal Detachment
Your opinion with this one
Acute 3rd nerve palsy -
? Intracranial aneurym
Corneal microbial keratitis
Culture ? -
Open Globe – Intraocular foreign body
Alkali injury -
Okay- Urgent and requires copious irrigation
I THINK WE HAVE A PROBLEM HERE HOUSTON – WHAT DO WE DO ?
THE FISH THAT GOT AWAY
HOW TO DO IT:
VIDEO OF FISH HOOK REMOVAL
So what are your thoughts NOW ?
Sub conjunctival hemorrhage
Is this a big deal
THAT'S ALL FOLKS AND THANK YOU!