The Podcasts of the Royal New Zealand College of Urgent Care (RNZCUC)
Explorez tous les épisodes de The Podcasts of the Royal New Zealand College of Urgent Care
| Date | Titre | Durée | |
|---|---|---|---|
| 15 Nov 2024 | Tachycardic patients in Urgent Care - Dr Lindsey Fish | 00:38:05 | |
This week we talk with Dr Lindsey Fish, Medical Director of the Peña Southwest Urgent Care Clinic at the Denver Health and Hospital. She is an Associate Professor of Medicine at the University of Colorado School of Medicine. She was one of the authors of a paper published in the Journal of Urgent Care Medicine that showed patients discharged from urgent care with tachycardia had significantly higher odds of having a return visit to urgent care and higher odds of being admitted to hospital within 7 days. We discuss this work, its implications for our clinical practice, and how to undertake this sort of research in the urgent care setting. Maia VRN, Loh R, Weinstock M, Fish L. Return Visits and Hospitalization Rates of Adult Patients Discharged with Tachycardia After an Urgent Care Visit: A Retrospective Cohort Study. J Urgent Care Med. 2024; 18 (9):37-41
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
| |||
| 28 Jun 2024 | Urgent Bite 220 - Helping in an emergency | 00:06:29 | |
As medical professionals, we must know our legal and moral obligations to help in case of emergency. Check out the MCNZ page on helping in an emergency.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
| |||
| 17 Mar 2023 | Urgent Bite 165 - Thinking about SUFE | 00:10:15 | |
SUFEs will often first present in primary care and are easily missed.
Check out the paper mentioned - Weigall P, Vladusic S, Torode I. Slipped upper femoral epiphysis in children--delays to diagnosis. Aust Fam Physician. 2010 Mar;39(3):151-3. PMID: 20369118. https://pubmed.ncbi.nlm.nih.gov/20369118/
Check out the RCH Melbourne guidelines - https://www.rch.org.au/clinicalguide/guideline_index/fractures/sufe_emergency/
Check out the Radiopaedia page - https://radiopaedia.org/articles/slipped-upper-femoral-epiphysis
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 05 Apr 2024 | Catching up with Dr Tamsin Lillie | 00:19:28 | |
2 years ago we spoke with Dr Tamsin Lillie, a Fellow of the RNZCUC who runs a medical charity that helps fund African students through medical training. Last time we spoke she was calling in from Malawi, but a chance meeting in person prompted a quick catch-up about what has been going on over the last 2 years and her hopes for the charity moving forward.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 01 Feb 2024 | The Corona Mortis - with Dr Tim Brabants | 00:14:07 | |
Do you know about the Corona Mortis? Today with chat to Dr Tim Brabants who has seen a case and feels we should be aware of its potential in urgent care. Tim is a UK-trained doctor who has worked in the UK and South Africa, predominantly in emergency medicine. Now based in New Zealand, he is a senior Registrar with the RNZCUC
Check out these resources on the Corona Mortis. Radiopaedia - Hsu C, Ismail M, Furaiji H, et al. Corona mortis. Reference article, Radiopaedia.org (Accessed on 30 Jan 2024) https://doi.org/10.53347/rID-39319 https://radiopaedia.org/articles/39319
Garrido-Gómez J, Pena-Rodríguez C, Martín-Noguerol T, Hernández-Cortes P. Corona mortis artery avulsion due to a stable pubic ramus fracture. Orthopedics. 2012 Jan 16;35(1):e80-2. doi: 10.3928/01477447-20111122-25. PMID: 22229619. https://pubmed.ncbi.nlm.nih.gov/22229619/
Sealy EB, Schammel CM, Varma R, Devane AM. Corona mortis in the setting of pelvic trauma: Case series and review of the literature. Am J Interv Radiol 2023;7:9. https://americanjir.com/corona-mortis-in-the-setting-of-pelvic-trauma-case-series-and-review-of-the-literature/
Cardoso GI, Chinelatto LA, Hojaij F, Akamatsu FE, Jacomo AL. Corona Mortis: A Systematic Review of Literature. Clinics (Sao Paulo). 2021 Apr 16;76:e2182. doi: 10.6061/clinics/2021/e2182. PMID: 33886786; PMCID: PMC8024925. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024925/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 01 Nov 2024 | Dr Joshua Russell - Recapping Bootcamp 2024 | 00:54:13 | |
Dr Joshua Russell, Editor in Chief of the Journal of Urgent Care Medicine came to New Zealand from the USA for our Bootcamp in Wellington. Here we discuss his thoughts on NZ, UC down under, the future of Urgent Care and why UC research is so important. Details on the JUCM Fellowship in Medical Writing can be found here.
Check out the Bootcamp report
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 21 Jun 2024 | Urgent Bite 219 - Music to help you focus, sleep and relax | 00:08:53 | |
Certain music can help improve your concentration, help you relax and improve your sleep.
Check out https://www.brain.fm/ Check out their white paper.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 13 Sep 2024 | Urgent Bite 230 - Dry Socket | 00:07:12 | |
Dry socket might present to urgent care. What is it and what should we do about it?
Check out the papers mentioned Chemaly D. How do I manage a patient with dry socket? J Can Dent Assoc. 2013;79:d54. PMID: 23763736. https://pubmed.ncbi.nlm.nih.gov/23763736/ Mamoun J. Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques. J Korean Assoc Oral Maxillofac Surg. 2018 Apr;44(2):52-58. doi: 10.5125/jkaoms.2018.44.2.52. Epub 2018 Apr 25. PMID: 29732309; PMCID: PMC5932271. https://pubmed.ncbi.nlm.nih.gov/29732309/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
| |||
| 08 Mar 2024 | Urgent Bite 209 - Abnormal Uterine Bleeding when commencing anticoagulation | 00:06:44 | |
We must counsel about the possibility of abnormal uterine bleeding starting, or worsening when commencing oral anticoagulation. Check out the Prescriber update - December 2023 edition - https://www.medsafe.govt.nz/profs/PUArticles/PDF/Prescriber-Update-44-No.4-December-2023.pdf
Check out the paper mentioned de Jong CMM, Blondon M, Ay C, Buchmuller A, Beyer-Westendorf J, Biechele J, Bertoletti L, Colombo G, Donadini MP, Hendriks SV, Jara-Palomares L, Nopp S, Ruiz-Artacho P, Stephan P, Tromeur C, Vanassche T, Westerweel PE, Klok FA. Incidence and impact of anticoagulation-associated abnormal menstrual bleeding in women after venous thromboembolism. Blood. 2022 Oct 20;140(16):1764-1773. doi: 10.1182/blood.2022017101. PMID: 35925686. https://pubmed.ncbi.nlm.nih.gov/35925686/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 28 Jul 2023 | Urgent Bite 183 - Elson’s Test | 00:08:32 | |
Elson's test is an important test to know in urgent care.
Check out Elson's original paper. Elson RA. Rupture of the central slip of the extensor hood of the finger. A test for early diagnosis. J Bone Joint Surg Br. 1986 Mar;68(2):229-31. doi: 10.1302/0301-620X.68B2.3958008. PMID: 3958008. https://pubmed.ncbi.nlm.nih.gov/3958008/
Check out the OrthoBullets page https://www.orthobullets.com/hand/6028/extensor-tendon-injuries
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 16 Feb 2024 | Urgent Bite 206 - Grover Disease | 00:08:13 | |
Grover disease might present through your urgent care. While not a critical or life-threatening condition, recognising it so we can advise and support your patient is important. To help us consider differentials for various presenting complaints there is a useful website you can use.
Check out the Cunneliffe (TP) General Dermatology Diagnostic Tool - https://www.pcds.org.uk/general-dermatology-table
Check out the Dermnet page on Grover disease - authored by Prof Amanda Oakley and Dr Ian Coulson- https://dermnetnz.org/topics/transient-acantholytic-dermatosis
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 04 Oct 2024 | Urgent Bite 233 - Thoracic Aneurysm considerations | 00:12:02 | |
Some important considerations when working up chest pain that will make us think of a thoracic aneurysm.
Habib M, Lindström D, Lilly JB, D'Oria M, Wanhainen A, Khashram M, Dean A, Mani K. Descending thoracic aortic emergencies: Past, present, and future. Semin Vasc Surg. 2023 Jun;36(2):139-149. doi: 10.1053/j.semvascsurg.2023.04.009. Epub 2023 Apr 30. PMID: 37330228.
Check out the MDCalc page for ADDRS
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 24 Nov 2023 | Urgent Bite 198 - Thinking about Exostoses of the Ear | 00:07:30 | |
Whether an incidental finding or related to a presenting issue, advising a surfer about preventing exostosis progression is important in urgent care.
Check out the Stat Pearls page for a great review. Landefeld K, Bart RM, Lau H, et al. Surfer's Ear. [Updated 2023 Apr 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534874/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 23 Aug 2024 | Urgent Bite 227 - The Cluster Headache | 00:12:11 | |
Cluster headaches present through urgent care and it is important to differentiate them correctly.
Check out the paper on which Lisa Kudrow has a credit Messinger HB, Messinger MI, Kudrow L, Kudrow LV. Handedness and headache. Cephalalgia. 1994 Feb;14(1):64-7. doi: 10.1046/j.1468-2982.1994.1401064.x. PMID: 8200028.
Check out the paper mentioned Weaver-Agostoni J. Cluster headache. Am Fam Physician. 2013 Jul 15;88(2):122-8. PMID: 23939643.
This links to the ICHD-3 Cluster Headache page
Check out the BPAC article mentioned
For Bootcamp details - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 08 Sep 2023 | Urgent Bite 188 - Thinking about B12 deficiency | 00:10:24 | |
B12 deficiency is worth considering in some of the patients who present through UC.
Check out the Stat Pearls page Ankar A, Kumar A. Vitamin B12 Deficiency. [Updated 2022 Oct 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441923/ Check out the NIH information on vitamin B12
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 28 Mar 2024 | Urgent Bite 211 - Thinking about medication history taking | 00:07:39 | |
Some common, non-psychotropic medications can have psychiatric side effects.
Check out the article mentioned Prescriber Update 45(1): 5-8 March 2024 https://www.medsafe.govt.nz/profs/PUArticles/March2024/Unexplained-mood-and-behavioural-changes.html
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 06 Sep 2024 | Urgent Bite 229 - Listening to the Caddy | 00:14:33 | |
A caddy offers words of wisdom to their golfer. Some of their advice is relevant to urgent care.
Check out the paper mentioned Gotlieb R, Praska C, Hendrickson MA, Marmet J, Charpentier V, Hause E, Allen KA, Lunos S, Pitt MB. Accuracy in Patient Understanding of Common Medical Phrases. JAMA Netw Open. 2022 Nov 1;5(11):e2242972. doi: 10.1001/jamanetworkopen.2022.42972. PMID: 36449293; PMCID: PMC9713608. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713608/
Check out the LITFL article, by Chris Nickson, Nov 2020 https://litfl.com/communication-in-a-crisis/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 23 Jun 2023 | Urgent Bite 178 - Tibial Stress Fracture | 00:09:18 | |
A tibial stress fracture in a golfer. Unusual, given that they are often associated with runners, but it does highlight how listening to your patient when they say something is wrong is important.
Interview between David Feherty and Richard Boxall - https://youtu.be/_82qJCndF90 OrthoBullets - Tibial Stress fractures - https://www.orthobullets.com/knee-and-sports/3112/tibial-shaft-stress-fractures
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 05 Jul 2024 | Urgent Bite 221 - Overseas medication | 00:04:30 | |
When you need help with identifying medications from overseas visitors, you can always call your local pharmacist, or you could try this website.
Check out the webpage mentioned - https://www.resourcepharm.com/pharmacist/identification-of-foreign-medicines.html
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 07 Jun 2024 | Dr Tony Smith talks Double Sequential and Vector Change Defibrillation for resistant VF/VT | 00:30:16 | |
Dr Tony Smith, Deputy Clinical Director at Hato Hone St John, tells us about Double Sequential and Vector Change Defibrillation for resistant VF/VT. These new techniques, not currently covered in our NZRC resus algorithms, are being utilised by all ambulance services in New Zealand for patients who do not get ROSC after three shocks. Tony can be contacted for questions at - Tony.Smith@stjohn.org.nz
Check out the paper mentioned Cheskes S, Verbeek PR, Drennan IR, McLeod SL, Turner L, Pinto R, Feldman M, Davis M, Vaillancourt C, Morrison LJ, Dorian P, Scales DC. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 24;387(21):1947-1956. doi: 10.1056/NEJMoa2207304. Epub 2022 Nov 6. PMID: 36342151. https://www.nejm.org/doi/full/10.1056/NEJMoa2207304 And the editorial - https://www.nejm.org/doi/full/10.1056/NEJMe2213562
Check out the Article from the Conversation - https://theconversation.com/a-new-emergency-procedure-for-cardiac-arrests-aims-to-save-more-lives-heres-how-it-works-221979
Check out the article from the NZMJ Dicker B, Maessen S, Swain A, Garcia E, Smith T. Are two shocks better than one? Aotearoa New Zealand emergency medical services implement a new defibrillation strategy: implications for around nine patients per week. N Z Med J. 2024 Mar 22;137(1592):105-107. doi: 10.26635/6965.6429. PMID: 38513209.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 31 Mar 2023 | Urgent Bite 167 -Thinking about Health Literacy | 00:08:14 | |
The health literacy of our patients is an important consideration in urgent care.
Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015 Jul 15;92(2):118-24. PMID: 26176370. https://pubmed.ncbi.nlm.nih.gov/26176370/
Chew LD, Griffin JM, Partin MR, Noorbaloochi S, Grill JP, Snyder A, Bradley KA, Nugent SM, Baines AD, Vanryn M. Validation of screening questions for limited health literacy in a large VA outpatient population. J Gen Intern Med. 2008 May;23(5):561-6. doi: 10.1007/s11606-008-0520-5. Epub 2008 Mar 12. PMID: 18335281; PMCID: PMC2324160. https://pubmed.ncbi.nlm.nih.gov/18335281/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 18 Oct 2024 | Urgent Bite 235 - Tendon injuries around the Patella | 00:15:11 | |
What should you look for in quadriceps tendon and patella tendon ruptures?
Check out the Orthobullets pages Patella Tendon by Ben Sharareh MD - https://www.orthobullets.com/knee-and-sports/3024/patellar-tendon-rupture Quadriceps Tenson by Jason McKean MD - https://www.orthobullets.com/knee-and-sports/3023/quadriceps-tendon-rupture
Check out the video by Loz and Liz discussing the injury which is mentioned in the podcast - https://www.youtube.com/watch?v=Qwbni5qEPr8
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 19 Jan 2024 | Urgent Bite 203 -The Hoagland Sign | 00:11:22 | |
An eponymous sign that helps in the diagnosis of glandular fever.
Check out the paper mentioned. Otsuki T, Ishizuka K, Hirose M, Ie K. Hoagland sign in infectious mononucleosis. BMJ Case Rep. 2022 Nov 16;15(11):e252839. https://pubmed.ncbi.nlm.nih.gov/36384885/
Check out the obituary of Colonel Robert. J. Hoagland MD - https://courierpostonline.newspapers.com/article/the-charlotte-observer-robert-j-hoagland/82137229/
Check out the Patient.info page on glandular fever, written by Dr Colin Tidy - https://patient.info/ears-nose-throat-mouth/sore-throat-2/glandular-fever-infectious-mononucleosis
Check out the book review of Hoagland's book. Moser RH. Infectious Mononucleosis. Arch Intern Med. 1968;121(6):572. doi:10.1001/archinte.1968.03640060086018
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 18 Aug 2023 | 5 years of Podcasting | 00:10:42 | |
Today we look back at 5 years of the Royal New Zealand College of Urgent Care podcasts.
If you want to get involved with the next 5 years of podcasts, email the address below.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 02 Mar 2023 | Urgent Bite 163 - Hypopyon | 00:04:17 | |
Looking for and identifying a hypopyon is an important part of the UC eye exam.
Check out the BPAC article for a great review of red eyes - https://bpac.org.nz/bpj/2013/august/redeye.aspx
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 11 Oct 2024 | Urgent Bite 234 - The Felon | 00:12:33 | |
What is a Felon and what should we do about it?
Check out the papers and pages mentioned. Nardi NM, McDonald EJ, Syed HA, et al. Felon. [Updated 2024 Apr 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430933/ Orthobullets page by Leah Ahn MD Koshy JC, Bell B. Hand Infections. J Hand Surg Am. 2019 Jan;44(1):46-54. doi: 10.1016/j.jhsa.2018.05.027. Epub 2018 Jul 14. PMID: 30017648. Clark DC. Common acute hand infections. Am Fam Physician. 2003 Dec 1;68(11):2167-76. PMID: 14677662. https://pubmed.ncbi.nlm.nih.gov/14677662/ Tannan SC, Deal DN. Diagnosis and management of the acute felon: evidence-based review. J Hand Surg Am. 2012 Dec;37(12):2603-4. doi: 10.1016/j.jhsa.2012.08.002. PMID: 23174075. Proegler C. The Panaritium (Felon)-Consequences and Treatment. Chic Med J. 1872 Nov;29(11):656-660. PMID: 37413177; PMCID: PMC9802920. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802920/ Billroth T. Panaritium. Atlanta Med Surg J (1884). 1884 Mar;1(1):35-37. PMID: 35827592; PMCID: PMC8925372. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8925372/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 16 Aug 2024 | Urgent Bite 226 - The Popeye Sign | 00:10:30 | |
Don't confuse the Popeye Sign with the reverse Popeye Sign.
Check out the Stat Pearls Page - Hsu D, Anand P, Mabrouk A, et al. Biceps Tendon Rupture. [Updated 2023 Jul 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
Check out the OrthoBullets Page on distal ruptures.
Get Bootcamp tickets here - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 23 Feb 2023 | Urgent Bite 162 - Seidel’s Test | 00:04:24 | |
We should all know how to do Seidel's test in urgent care.
Check out the Eye Wiki page from the American Academy of Ophthalmology, written by Stelton, C et al - https://eyewiki.aao.org/Seidel_Test
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 01 Dec 2023 | Urgent Bite 199 - What is AUVP? | 00:08:40 | |
Words change but conditions stay the same.
Check out the paper mentioned. Strupp M, Bisdorff A, Furman J, Hornibrook J, Jahn K, Maire R, Newman-Toker D, Magnusson M. Acute unilateral vestibulopathy/vestibular neuritis: Diagnostic criteria. J Vestib Res. 2022;32(5):389-406. doi: 10.3233/VES-220201. PMID: 35723133; PMCID: PMC9661346. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9661346/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 04 Aug 2023 | Urgent Bite 184 - Kawasaki Disease | 00:09:38 | |
Look for the cardinal signs of Kawasaki disease in kids with persisting fever.
Check out the Starship page - https://starship.org.nz/guidelines/kawasaki-disease/ Check out the Dermnet page https://dermnetnz.org/topics/kawasaki-disease
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 12 Jul 2024 | Urgent Bite 222 - Antihistamines use in eczema | 00:06:23 | |
Do antihistamines help with the itch of dermatitis?
Check out the paper mentioned Nankervis H, Thomas KS, Delamere FM, Barbarot S, Rogers NK, Williams HC. Scoping systematic review of treatments for eczema. Southampton (UK): NIHR Journals Library; 2016 May. PMID: 27280278. Check out the Dermnet NZ page. Authors: Dr Amy Stanway, Department of Dermatology, Waikato Hospital, Hamilton, New Zealand, February 2004; Updated: Honorary Associate Professor Paul Jarrett, Dermatologist, Middlemore Hospital and Department of Medicine, The University of Auckland, Auckland, New Zealand, February 2021. Minor internal update May 2023.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 06 Oct 2023 | Talking the Jump Test for Appendicitis with Dr David Sorrell | 00:19:02 | |
Dave has used this test for years to help with his diagnosis, so he was relieved to find a paper that supported its use. Check out the paper here. Tzortzopoulou AK, Giamarelou P, Tsolia M, Spyridis N, Vakaki M, Passalides A, Zavras N. The Jumping Up (J-Up) Test: Making the Diagnosis of Acute Appendicitis Easier in Children. Glob Pediatr Health. 2019 Nov 11;6:2333794X19884824. doi: 10.1177/2333794X19884824. PMID: 31763374; PMCID: PMC6851606. https://pubmed.ncbi.nlm.nih.gov/31763374/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 07 Nov 2024 | Urgent Bite 237 - Considering Osgood-Schlatter Disease in Adults | 00:06:04 | |
While occurring in adolescents, Osgood-Schlatter Disease can persist into adulthood and is an important differential for anterior knee pain.
Check out the OrthoBullets page by Dr Woon
Check out the Radiopaedia page by Hererra
Check out the Case Report Mentioned Murphy CE, Kenny CM. Not just for boys: a rare case of symptomatic Osgood-Schlatter disease in a skeletally mature woman. BMJ Case Rep. 2019 Mar 26;12(3):e228963. doi: 10.1136/bcr-2018-228963. PMID: 30914412; PMCID: PMC6453305. https://pmc.ncbi.nlm.nih.gov/articles/PMC6453305/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 15 Sep 2023 | Urgent Bite 189 -A Simple Nausea treatment | 00:07:54 | |
Smells can be nostalgic, but can they be antiemetic?
Check out the ALIEM page
Check out the Paper Mentioned Veldhuis, P., Melse, M. & Mullaart, N. Implementation of isopropyl alcohol (IPA) inhalation as the first-line treatment for nausea in the emergency department: practical advantages and influence on the quality of care. Int J Emerg Med 14, 15 (2021). https://doi.org/10.1186/s12245-021-00334-z
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 12 May 2023 | Urgent Bite 172 - The Budapest Criteria | 00:08:34 | |
We need to be aware of complex regional pain syndrome in urgent care.
Check out the OrthoBullets page on CRPS - https://www.orthobullets.com/basic-science/6095/complex-regional-pain-syndrome-crps
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 22 Mar 2024 | Urgent Bite 210 - Hoffmann's Sign | 00:10:50 | |
Hoffmann's sign is a simple test that can help in diagnosing cervical myelopathy and upper motor neurone disease as part of a thorough history and examination.
Check out the paper mentioned Nemani VM, Kim HJ, Piyaskulkaew C, Nguyen JT, Riew KD. Correlation of cord signal change with physical examination findings in patients with cervical myelopathy. Spine (Phila Pa 1976). 2015 Jan 1;40(1):6-10. doi: 10.1097/BRS.0000000000000659. PMID: 25341986. https://pubmed.ncbi.nlm.nih.gov/25341986/
Check out the Stat Pearls page. Whitney E, Munakomi S. Hoffmann Sign. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545156/
2 videos from Ortho Eval Pal with Paul Marquis on YouTube that show the sign. https://www.youtube.com/watch?v=blj6Y0rrmtw https://www.youtube.com/watch?v=GJ-Q2ibYAHs
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 13 Oct 2023 | Urgent Bite 192 - Urinary Alkalinisers and Antibiotics | 00:05:28 | |
Urinary alkalinisers can reduce the effectiveness of certain antibiotics
Check out the BPAC article - https://bpac.org.nz/2021/uti.aspx Check out the NZF page - https://nzf.org.nz/nzf_4329
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 27 Oct 2023 | Urgent Bite 194 - Achenbach Syndrome | 00:09:32 | |
What would you think if a patient presents with a spontaneously bruised digit?
Check out the Dermnet page - https://dermnetnz.org/topics/achenbach-syndrome Azarfar A, Beg S. Achenbach Syndrome: A Case Series. Cureus. 2022 Mar 3;14(3):e22824. doi: 10.7759/cureus.22824. PMID: 35382203; PMCID: PMC8976592.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 17 May 2024 | Urgent Bite 216 - The Carpal Boss | 00:06:24 | |
A differential to consider when examining a dorsal wrist swelling.
Check out the Radiopaedia pages
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 19 Apr 2024 | Urgent Bite 212 - The Cozen Phenomenon | 00:08:01 | |
We must be aware of the possibility of Cozen's phenomenon in urgent care.
Check out the Radiopedia page by Tim Luijkx https://radiopaedia.org/articles/cozen-fracture-1
Check out the Orthobullets page by Macknett MD et al https://www.orthobullets.com/pediatrics/4025/proximal-tibia-metaphyseal-fractures--pediatric
Check out the obituary of Dr Lewis Cozen.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
| |||
| 22 Dec 2023 | A Bite of Christmas - The Ice Cream Headache | 00:04:38 | |
You might encounter an Ice Cream Headache over Christmas.
Check out the International Classification of Headaches - Third Edition) Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013 Jul;33(9):629-808. doi: 10.1177/0333102413485658. PMID: 23771276. https://pubmed.ncbi.nlm.nih.gov/23771276/
Check out the paper mentioned Özyürek H, Koray Bayrak I, Yayici Köken Ö. Ice Cream Headache: Cerebral Blood Flow Evaluation. Turk Arch Pediatr. 2021 Jul 1;56(4):405-406. doi: 10.5152/TurkArchPediatr.2021.20247. PMID: 35005742; PMCID: PMC8655974. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8655974/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Christmas Elves by - Francesco D'Andrea
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 20 Dec 2024 | A Christmas Bite - Myocardial Infarction at Christmas | 00:05:59 | |
While the Christmas period is supposed to be a happy holiday for all, there are many increased stressors at this time of year. These papers give food for thought for the season.
Mohammad MA, Karlsson S, Haddad J, Cederberg B, Jernberg T, Lindahl B, Fröbert O, Koul S, Erlinge D. Christmas, national holidays, sport events, and time factors as triggers of acute myocardial infarction: SWEDEHEART observational study 199 8-2013. BMJ. 2018 Dec 12;363:k4811. doi: 10.1136/bmj.k4811. PMID: 30541902; PMCID: PMC6289164. Link to paper
Olsson A, Thorén I, Mohammad MA, Rylance R, Platonov PG, Sparv D, Erlinge D. Christmas holiday triggers of myocardial infarction. Scand Cardiovasc J. 2021 Dec;55(6):340-344. doi: 10.1080/14017431.2021.1983638. Epub 2021 Sep 29. PMID: 34585998. - Link to paper
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Christmas Elves by - Francesco D'Andrea
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 06 Dec 2024 | Urgent Bite 240 - The Epitrochlear Lymph Node | 00:09:23 | |
Do you palpate for the epitrochlear lymph node?
Check out the papers mentioned Selby CD, Marcus HS, Toghill PJ. Enlarged epitrochlear lymph nodes: an old physical sign revisited. J R Coll Physicians Lond. 1992 Apr;26(2):159-61. PMID: 1588523; PMCID: PMC5375540. https://pmc.ncbi.nlm.nih.gov/articles/PMC5375540/
Catalano O, Nunziata A, Saturnino PP, Siani A. Epitrochlear lymph nodes: Anatomy, clinical aspects, and sonography features. Pictorial essay(). J Ultrasound. 2010 Dec;13(4):168-74. doi: 10.1016/j.jus.2010.10.010. Epub 2010 Nov 18. PMID: 23397026; PMCID: PMC3553226. https://pmc.ncbi.nlm.nih.gov/articles/PMC3553226/
Pannu AK, Prakash G, Jandial A, Kopp CR, Kumari S. Epitrochlear lymphadenopathy. Korean J Intern Med. 2019 Nov;34(6):1396. doi: 10.3904/kjim.2018.218. Epub 2018 Dec 6. PMID: 30514055; PMCID: PMC6823563. https://pmc.ncbi.nlm.nih.gov/articles/PMC6823563/
Freeman AM, Matto P. Lymphadenopathy. [Updated 2023 Feb 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513250/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 19 May 2023 | Urgent Bite 173- Smegma Pearls | 00:05:15 | |
Something a concerned parent might bring into urgent care.
Check out the RCH Melbourne page on foreskin issues - https://www.rch.org.au/clinicalguide/guideline_index/the_penis_and_foreskin/ Check out this article Burleigh A, Lam JM. A mobile yellow nodule under the foreskin of a toddler. Paediatr Child Health. 2017 Nov;22(8):459-460. doi: 10.1093/pch/pxx154. Epub 2017 Nov 27. PMID: 29479264; PMCID: PMC5804948. https://pubmed.ncbi.nlm.nih.gov/29479264/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 02 Aug 2024 | Urgent Bite 225 - Anticholinergics in the elderly | 00:07:24 | |
We need to be aware of medications with anticholinergic effects, especially in the elderly.
Check out the BPAC article mentioned - https://bpac.org.nz/2024/anticholinergic.aspx#tab1 Check out the ACB calculator by Dr Rebecca King and Steve Rabino - https://www.acbcalc.com/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 03 May 2024 | Urgent Bite 214 - Are Borborygmi useful? | 00:11:53 | |
Should we be listening for bowel sounds? Despite evidence suggesting they are not useful, I still think it is an important part of an urgent care assessment.
Check out the papers mentioned. Elhardello O, Macfie J. Bowel Sounds: Is it Time for Surgeons to Hang-up their Stethoscopes?. World J Surg Surgical Res. 2018; 1: 1066. Link to paper.
Breum BM, Rud B, Kirkegaard T, Nordentoft T. Accuracy of abdominal auscultation for bowel obstruction. World J Gastroenterol. 2015 Sep 14;21(34):10018-24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566372/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 11 Aug 2023 | Urgent Bite 185 - Carnett and Fothergill signs | 00:08:47 | |
A couple of eponymous signs to use in evaluating abdominal pain that helps determine a rectus sheath haematoma.
Check out the Stat Pearls page Allen M, Sevensma KE. Rectus Sheath Hematoma. [Updated 2023 Jan 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519033/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 25 Aug 2023 | Urgent Bite 186 - Cervical Lymphadenitis in Kids | 00:08:23 | |
Palpating the cervical lymph nodes is a vital part of our examination of febrile kids.
Check out the Starship Hospital page. https://starship.org.nz/guidelines/cervical-lymphadenitis/
Check out the RCH Melbourne page. https://www.rch.org.au/clinicalguide/guideline_index/cervical_lymphadenopathy/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 20 Jul 2023 | Urgent Bite 182 - High Pressure Injection Injuries | 00:08:14 | |
High-pressure injection injuries might look innocuous on the surface, but they need an immediate surgical referral.
Check out the video mentioned from the Hydraulic Press Channel - https://www.youtube.com/watch?v=mFea7RNhw2w
Check out the OrthoBullets page - https://www.orthobullets.com/hand/12104/high-pressure-injection-injuries#:~:text=High%2DPressure%20Injection%20Injuries%20are,benign%20high%2Dpressure%20entry%20wound.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
| |||
| 23 Feb 2024 | Urgent Bite 207 - Dunbar Syndrome | 00:10:10 | |
In cases of ongoing post-prandial epigastric pain and sitophobia despite endoscopy work up and treatment perhaps we should remember to recall Dunbar Syndrome to our differential list.
Check out the paper mentioned Li J, Tan XY, Megahed A, Evangelista A. Dunbar syndrome: An unusual cause of chronic postprandial abdominal pain. Radiol Case Rep. 2020 Aug 2;15(10):1747-1749. doi: 10.1016/j.radcr.2020.07.016. PMID: 32774573; PMCID: PMC7397697. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7397697/ Check out the Radiopedia page Gaillard F, Moore C, Glick Y, et al. Celiac artery compression syndrome. Reference article, Radiopaedia.org (Accessed on 22 Feb 2024) https://doi.org/10.53347/rID-1143
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 10 Nov 2023 | Urgent Bite 196 - Foot Drop | 00:11:19 | |
We should always observe our patient's gait and make sure to look our for a foot drop.
Check out the Stat Pearls page. Nori SL, Stretanski MF. Foot Drop. [Updated 2022 Jun 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554393/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 09 Feb 2023 | Urgent Bite 160 - Funded Adrenaline Auto-injectors | 00:03:06 | |
As of February 1st, 2023, adrenaline auto-injectors are now funded in New Zealand under Special Authority.
Check out the details here - https://pharmac.govt.nz/news-and-resources/consultations-and-decisions/2022-12-15-decision-to-fund-adrenaline-auto-injectors-for-the-emergency-treatment-of-anaphylaxis/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 21 Apr 2023 | Urgent Bite 170 - Pectoralis Major Rupture | 00:07:45 | |
Pectoralis Major ruptures would seem to be an injury of the last 30 years and are related to bench pressing heavy weights.
Check out the Orthobullets Page - https://www.orthobullets.com/shoulder-and-elbow/3069/pectoralis-major-rupture Check out the Radiopaedia page - https://radiopaedia.org/articles/pectoralis-major-injury
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 12 Jan 2024 | Urgent Bite 202 - Thinking about Neuroendocrine Tumours | 00:12:48 | |
This week, the world's best snooker players are competing for the Paul Hunter Trophy at the Masters in London. Paul sadly died of neuroendocrine tumours in 2006 whilst in his snooker prime.
Check out the paper mentioned Ahmed M. Gastrointestinal neuroendocrine tumors in 2020. World J Gastrointest Oncol. 2020 Aug 15;12(8):791-807. doi: 10.4251/wjgo.v12.i8.791. PMID: 32879660; PMCID: PMC7443843. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443843/
Check out this blog page detailing Paul Hunter's diagnosis. This is from the Ronny Allan blog, someone also diagnosed with neuroendocrine cancer.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 23 Mar 2023 | Urgent Bite 166 - Torticollis | 00:09:33 | |
What are the red flags when we see a patient with torticollis?
Check out the paper mentioned. Starc M, Norbedo S, Tubaro M, Ronfani L, Bassanese G, Barbi E. Red Flags in Torticollis: A Historical Cohort Study. Pediatr Emerg Care. 2018 Jul;34(7):463-466. https://pubmed.ncbi.nlm.nih.gov/29298248/
Check out the RCH Melbourne pages on Acquired and Congenital Torticollis https://www.rch.org.au/clinicalguide/guideline_index/Acquired_Torticollis/ https://www.rch.org.au/clinicalguide/guideline_index/Congenital_Torticollis/
And don't forget to check out the Wolfgang - https://www.instagram.com/wolfgang2242/?hl=en
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 22 Nov 2024 | Urgent Bite 238 - Possible Assistance Needed | 00:08:29 | |
Do you have a way to quickly and succinctly indicate that there is a possible patient of clinical concern within your clinic?
Read about Pan-pan on Wikipedia.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 09 Feb 2024 | Urgent Bite 205 - The Böhler angle and angle of Gissane | 00:10:36 | |
When considering calcaneal fractures we must remember the Böhler angle and the angle of Gissane.
Check out the Orthobullets page written by Crag Forsthoefel MD. https://www.orthobullets.com/trauma/1051/calcaneus-fractures
Check out the Radiopaedia articles Benoudina S, Worsley C, Knipe H, et al. Gissane angle. Reference article, Radiopaedia.org (Accessed on 08 Feb 2024) https://doi.org/10.53347/rID-40094 Amini B, Worsley C, Weerakkody Y, et al. Böhler angle. Reference article, Radiopaedia.org (Accessed on 08 Feb 2024) https://doi.org/10.53347/rID-1002
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 29 Sep 2023 | Urgent Bite 191 - Cold air in Croup | 00:09:57 | |
Does colder air help ease croup? Check out the paper here Siebert JN, Salomon C, Taddeo I, Gervaix A, Combescure C, Lacroix L. Outdoor Cold Air Versus Room Temperature Exposure for Croup Symptoms: A Randomized Controlled Trial. Pediatrics. 2023 Sep 1;152(3):e2023061365. doi: 10.1542/peds.2023-061365. PMID: 37525974. https://pubmed.ncbi.nlm.nih.gov/37525974/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 16 Jun 2023 | Urgent Bite 177 - Talking corneal foreign body removal with Dr David Sorrell | 00:14:47 | |
Today we chat with Dr David Sorrell about how he bends the needle to aid corneal foreign body removal.
Check out the Clinical Note on this technique - Beyer H, Cherkas D. Corneal foreign body removal using a bent needle tip. Am J Emerg Med. 2012 Mar;30(3):489-90. doi: 10.1016/j.ajem.2010.12.038. Epub 2011 Feb 26. PMID: 21354749. Check out the Geeky Meds video - https://youtu.be/NtH9myhBR-A
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 29 Nov 2024 | Urgent Bite 239 - The Examination Ritual | 00:11:02 | |
An interesting and thought-provoking TED talk that argues for the need for clinicians to continue to examine patients thoroughly.
Check out Dr Verghese's TED talk here.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 05 Jan 2024 | Urgent Bite 201 - Thinking about referrals from UC | 00:10:36 | |
What is your acute referral rate from UC to secondary care?
Check out the paper mentioned. Blinkenberg J, Hetlevik Ø, Sandvik H, Baste V, Hunskaar S. The impact of variation in out-of-hours doctors' referral practices: a Norwegian registry-based observational study. Fam Pract. 2023 Dec 22;40(5-6):728-736. https://pubmed.ncbi.nlm.nih.gov/36801994/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 07 Jul 2023 | Urgent Bite 180 - Kanavel’s Sign | 00:07:28 | |
Always look for Kanavel's sign and refer if present.
Check out the OrthoBullets page on pyogenic tenosynovitis - https://www.orthobullets.com/hand/6105/pyogenic-flexor-tenosynovitis
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 20 Oct 2023 | Urgent Bite 193 -Feline therapy and take home information | 00:08:22 | |
It is important to remember our role in recommending simple measures to help our patients and it is worth thinking about the power of take-home information that details the advice you have given.
Check out the Stuff article here - https://www.stuff.co.nz/life-style/wellbeing/300992867/a-virginia-woman-was-feeling-sad-her-doctor-prescribed-her-a-cat
Check out the papers mentioned Qureshi AI, Memon MZ, Vazquez G, Suri MF. Cat ownership and the Risk of Fatal Cardiovascular Diseases. Results from the Second National Health and Nutrition Examination Study Mortality Follow-up Study. J Vasc Interv Neurol. 2009 Jan;2(1):132-5. PMID: 22518240; PMCID: PMC3317329. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3317329/ Levine GN, Allen K, Braun LT, Christian HE, Friedmann E, Taubert KA, Thomas SA, Wells DL, Lange RA; American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing. Pet ownership and cardiovascular risk: a scientific statement from the American Heart Association. Circulation. 2013 Jun 11;127(23):2353-63. doi: 10.1161/CIR.0b013e31829201e1. Epub 2013 May 9. PMID: 23661721. www.ahajournals.org/doi/full/10.1161/CIR.0b013e31829201e1
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 14 Jun 2024 | Urgent Bite 218 - Thinking about cold and flu remedies | 00:08:19 | |
Cold and flu remedies containing pseudoephedrine are now a class C drug in New Zealand and available from pharmacies.
Check out the prescriber update from June 2024. Check out the Ministry of Health page.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 29 Dec 2023 | Thinking about Jean Batten and Empyema | 00:10:42 | |
Jean Batten was a New Zealand pioneering aviatrix who died of empyema.
Check out Jean Batten's history. From the NZ History website - https://nzhistory.govt.nz/people/jean-batten From Te Ara, the Encyclopedia of New Zealand - https://teara.govt.nz/en/biographies/4b13/batten-jean-gardner From Wikipedia - https://en.wikipedia.org/wiki/Jean_Batten#
Check out the paper mentioned - Dyrhovden R, Nygaard RM, Patel R, Ulvestad E, Kommedal Ø. The bacterial aetiology of pleural empyema. A descriptive and comparative metagenomic study. Clin Microbiol Infect. 2019 Aug;25(8):981-986. https://pubmed.ncbi.nlm.nih.gov/30580031/ Check out the Stat Pearls page - Garvia V, Paul M. Empyema. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459237/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 26 May 2023 | Urgent Bite 174 - Cullen’s Sign | 00:05:41 | |
Cullen's sign is an important eponym to recognise in urgent care.
Check out the paper mentioned Rahbour G, Ullah MR, Yassin N, Thomas GP. Cullen's sign - Case report with a review of the literature. Int J Surg Case Rep. 2012;3(5):143-6. doi: 10.1016/j.ijscr.2012.01.001. Epub 2012 Jan 28. PMID: 22365919; PMCID: PMC3312052. https://pubmed.ncbi.nlm.nih.gov/22365919/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 10 Mar 2023 | Urgent Bite 164 - Thinking about Leukonychia and CPD | 00:06:47 | |
Not everything that comes through UC is urgent, but knowing a little about these out-of-scope topics is still necessary.
Check out the Dermnet page on white nails - https://dermnetnz.org/topics/white-nail
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 01 Mar 2024 | Urgent Bite 208 - Poland Syndrome | 00:09:45 | |
An interesting eponymous syndrome with a Kiwi connection.
Check out the Stat Pearls Page Tafti D, Cecava ND. Poland Syndrome. [Updated 2023 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532259/ https://www.ncbi.nlm.nih.gov/books/NBK532259/
Read more about Patrick Clarkson, MBE, FRCS - https://en.wikipedia.org/wiki/Patrick_Clarkson Read more about Jeremy Beadle, MBE - https://en.wikipedia.org/wiki/Jeremy_Beadle
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 26 Jul 2024 | Urgent Bite 224 - Walking on your ankle injury | 00:09:27 | |
Weight-bearing at the time of the injury and assessment forms part of the Ottawa ankle rules.
Chien B, Hofmann K, Ghorbanhoseini M, Zurakowski D, Rodriguez EK, Appleton P, Ellington JK, Kwon JY. Relationship of Self-Reported Ability to Weight-Bear Immediately After Injury as Predictor of Stability for Ankle Fractures. Foot Ankle Int. 2016 Sep;37(9):983-8. doi: 10.1177/1071100716648009. Epub 2016 May 9. PMID: 27162225.
Check out the original Ottawa ankle paper Stiell IG, McDowell I, Nair RC, Aeta H, Greenberg G, McKnight RD, Ahuja J. Use of radiography in acute ankle injuries: physicians' attitudes and practice. CMAJ. 1992 Dec 1;147(11):1671-8. PMID: 1362372; PMCID: PMC1336591.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 08 Dec 2023 | Urgent Bite 200 - CARM | 00:05:53 | |
We should be reporting suspected medication-induced anaphylaxis to CARM. Likewise, remember to report cases of ACE-induced angioedema.
Review the June 2023 Prescriber update from Medsafe - https://www.medsafe.govt.nz/profs/PUArticles/PDF/Prescriber-Update-Vol-44-No.2-June-2023.pdf
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 15 Mar 2024 | Wellens' Syndrome - with Dr Ivan Koay and Dr Yoosuf | 00:31:52 | |
Wellens' Syndrome is an ECG finding indicative of critical LAD stenosis. Recognising this ECG change is vital.
Check out the Life in the Fast Lane post by Dr Mike Cadogan and Dr Robert Buttner from September 2021 https://litfl.com/wellens-syndrome-ecg-library/
This is a BMJ case report that is worth reading. Ramires TG, Sant'Anna J, Pais J, Picarra BC. Wellens' syndrome: a pattern to remember. BMJ Case Rep. 2018 Apr 10;2018:bcr2018224582. doi: 10.1136/bcr-2018-224582. PMID: 29636339; PMCID: PMC5893974. https://casereports.bmj.com/content/2018/bcr-2018-224582
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 20 Sep 2024 | Urgent Bite 231 - Drug induced tendinopathy | 00:12:36 | |
Drug-induced tendinopathy can occur early, and late in a person's usage. So we must consider a patient's medication history closely whenever they have symptoms of tendinopathy or rupture.
Check out the September 2024 Prescriber update, Vol 5, No 3.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 30 Jun 2023 | Urgent Bite 179 - Looking at the Tongue | 00:06:10 | |
Why should we look at the tongue in urgent care? And why does it sometimes stick out when we are thinking?
Check out the Live Science article https://www.livescience.com/why-stick-out-tongues-concentration Check out the New Scientists article
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 31 May 2024 | Prof. Bruce Arroll talks anxiety, asthma, breathing techniques and the polyvagal theory | 00:35:44 | |
Professor Bruce Arroll talks to us about a practical technique that can help regulate breathing in people having panic attacks or during an asthma attack. The conversation then leads into discussing the Polyvagal Theory, physician wellness, and chronic pain.
Check out the Goodfellow unit resources. The Beginners Guide to the Polyvagal Theory
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 19 Jul 2024 | Urgent Bite 223 - Using smell to diagnose | 00:08:53 | |
Smell can be used to diagnose.
Check out the paper mentioned Trivedi DK, Sinclair E, Xu Y, Sarkar D, Walton-Doyle C, Liscio C, Banks P, Milne J, Silverdale M, Kunath T, Goodacre R, Barran P. Discovery of Volatile Biomarkers of Parkinson's Disease from Sebum. ACS Cent Sci. 2019 Apr 24;5(4):599-606. doi: 10.1021/acscentsci.8b00879. Epub 2019 Mar 20. https://pubmed.ncbi.nlm.nih.gov/31041379/ Check out the BBC interview with Joy Milne
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 30 Aug 2024 | Urgent Bite 228 - Thinking about the Sail Sign | 00:08:12 | |
We always look for the sail sign when reviewing radiographs of the elbow, but how often are they associated with occult fractures?
Check out the papers mentioned Skaggs DL, Mirzayan R. The posterior fat pad sign in association with occult fracture of the elbow in children. J Bone Joint Surg Am. 1999 Oct;81(10):1429-33. doi: 10.2106/00004623-199910000-00007. PMID: 10535592. https://pubmed.ncbi.nlm.nih.gov/10535592/ Al-Aubaidi Z, Torfing T. The role of fat pad sign in diagnosing occult elbow fractures in the pediatric patient: a prospective magnetic resonance imaging study. J Pediatr Orthop B. 2012 Nov;21(6):514-9. doi: 10.1097/BPB.0b013e328355e5d8. PMID: 22735922. https://pubmed.ncbi.nlm.nih.gov/22735922/ Kappelhof B, Roorda BL, Poppelaars MA, The B, Eygendaal D, Mulder PGH, van Bergen CJA. Occult Fractures in Children with a Radiographic Fat Pad Sign of the Elbow: A Meta-Analysis of 10 Published Studies. JBJS Rev. 2022 Oct 24;10(10). doi: 10.2106/JBJS.RVW.22.00114. PMID: 36326720. https://pubmed.ncbi.nlm.nih.gov/36326720/ Scheier E, Fuchs L, Taragin BH, Balla U, Shavit I. Children With Elbow Injuries and Sonographic Elevated Posterior Fat Pad but No Identifiable Posterior Fat Pad on Lateral Radiographs: A Case Series. J Ultrasound Med. 2023 Jul;42(7):1617-1624. doi: 10.1002/jum.16173. Epub 2023 Jan 12. PMID: 36633969. https://pubmed.ncbi.nlm.nih.gov/36633969/
Check out the Radiopaedia Article on the Sail Sign Gaillard F, Feger J, Ismail M, et al. Sail sign (elbow). Reference article, Radiopaedia.org (Accessed on 29 Aug 2024) https://doi.org/10.53347/rID-2014 Check out the original paper by Norell NORELL HG. Roentgenologic visualization of the extracapsular fat; its importance in the diagnosis of traumatic injuries to the elbow. Acta radiol. 1954 Sep;42(3):205-10. doi: 10.3109/00016925409174478. PMID: 13206822.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 03 Nov 2023 | Urgent Bite 195 - The Zurich Tongue Scheme | 00:09:47 | |
The Zurich Tongue Scheme may help you in assessing tongue lacerations in kids.
Check out the papers mentioned. Seiler M, Massaro SL, Staubli G, Schiestl C. Tongue lacerations in children: to suture or not? Swiss Med Wkly. 2018 Oct 28;148:w14683. doi: 10.4414/smw.2018.14683. PMID: 30378089. https://doi.org/10.4414/smw.2018.14683
Sibley AK, Atkinson P, Lobay K. Just the facts: Pediatric Dental and Oral Injuries. CJEM. 2020 Jan;22(1):23-26. doi: 10.1017/cem.2019.440. PMID: 31727193. https://caep.ca/wp-content/uploads/2020/01/just_the_facts_pediatric_dental_and_oral_injuries.pdf
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 26 Apr 2024 | Urgent Bite 213 - Differentials and the importance of the referral letter | 00:12:15 | |
What impact do your acute referral letters have on the admitting team? You may have noticed the initial upload contained the wrong audio file of an old podcast. Sorry, this has been corrected.
Check out the papers mentioned Chauveau P, Mazet-Guillaume B, Baron C, Roy PM, Tanguy M, Fanello S. Impact du contenu du courrier médical sur la qualité du triage initial des patients adultes admis aux urgences [Impact of the referral letter on triage decisions in adult patients admitted to the emergency department]. Sante Publique. 2013 Jul-Aug;25(4):441-51. French. https://pubmed.ncbi.nlm.nih.gov/24404726/
van den Berge K, Mamede S, van Gog T, Romijn JA, van Guldener C, van Saase JL, Rikers RM. Accepting diagnostic suggestions by residents: a potential cause of diagnostic error in medicine. Teach Learn Med. 2012;24(2):149-54. https://pubmed.ncbi.nlm.nih.gov/22490096/
Staal J, Speelman M, Brand R, Alsma J, Zwaan L. Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. BMC Med Educ. 2022 Apr 8;22(1):256 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991944/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 22 Sep 2023 | Urgent Bite 190 - Effect of burnout on prescribing | 00:10:47 | |
Being burnt out can change the way we prescribe.
Check out the BJGP paper mentioned. Hodkinson A, Zghebi SS, Kontopantelis E, Grigoroglou C, Ashcroft DM, Hann M, Chew-Graham CA, Payne RA, Little P, de Lusignan S, Zhou A, Esmail A, Panagioti M. Association of strong opioids and antibiotics prescribing with GP burnout: a retrospective cross-sectional study. Br J Gen Pract. 2023 Jul 27;73(733):e634-e643. doi: 10.3399/BJGP.2022.0394. PMID: 37500457; PMCID: PMC10227993. https://bjgp.org/content/73/733/e634
Check out the JAMA Intern Med paper mentioned Martinez KA, Rood M, Jhangiani N, Kou L, Boissy A, Rothberg MB. Association Between Antibiotic Prescribing for Respiratory Tract Infections and Patient Satisfaction in Direct-to-Consumer Telemedicine. JAMA Intern Med. 2018 Nov 1;178(11):1558-1560. doi: 10.1001/jamainternmed.2018.4318. PMID: 30285050; PMCID: PMC6584324. https://pubmed.ncbi.nlm.nih.gov/30285050/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 09 Jun 2023 | Urgent Bite 176 - Latissimus Dorsi Tears | 00:06:16 | |
A Latissimus Dorsi tear is a rare sporting injury but one we should be aware of in urgent care.
Check out the OrthoBullets Page https://www.orthobullets.com/shoulder-and-elbow/3072/latissimus-dorsi-rupture Check out the Radiopaedia Page https://radiopaedia.org/articles/latissimus-dorsi-injury
Check out the paper mentioned Holschen M, Körting M, Steinbeck J, Witt KA. Traumatic Tear of the Latissimus Dorsi Tendon in a CrossFit Athlete: Surgical Management. J Orthop Case Rep. 2019;9(5):82-86. doi: 10.13107/jocr.2250-0685.1546. PMID: 32548012; PMCID: PMC7276628. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276628/
Check out the Big Loz Official YouTube channel - https://youtu.be/BsZMI59OY1I
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 24 Dec 2024 | The Night Before - An Ode to Urgent Care | 00:03:32 | |
If you are working in urgent care over the holiday period, thank you.
https://www.facebook.com/rnzcuc
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 05 May 2023 | Talking about errors with Dr Ivan Koay | 00:31:22 | |
Today we talk about a study into errors in primary care and ED with Dr Ivan Koay. We also discuss the Abstracts of Urgent Care that he curates at the JUCM and the importance of research in urgent care.
Fernholm R, Pukk Härenstam K, Wachtler C, Nilsson GH, Holzmann MJ, Carlsson AC. Diagnostic errors reported in primary healthcare and emergency departments: A retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. Eur J Gen Pract. 2019 Jul;25(3):128-135. doi: 10.1080/13814788.2019.1625886. Epub 2019 Jul 1. PMID: 31257959; PMCID: PMC6713141. https://pubmed.ncbi.nlm.nih.gov/31257959/
Check out the JUCM abstracts - https://www.jucm.com/clinical/abstracts/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
| |||
| 10 May 2024 | Urgent Bite 215 - The World's Strongest CPD | 00:13:46 | |
Much like going to the gym, CPD can be a hassle or an imposition, but it can also be fun and hugely rewarding.
Check out the paper mentioned Jeong D, Presseau J, ElChamaa R, Naumann DN, Mascaro C, Luconi F, Smith KM, Kitto S. Barriers and Facilitators to Self-Directed Learning in Continuing Professional Development for Physicians in Canada: A Scoping Review. Acad Med. 2018 Aug;93(8):1245-1254. https://pubmed.ncbi.nlm.nih.gov/29642101/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 26 Jan 2024 | Urgent Bite 204 - Thinking about caffeine withdrawal | 00:07:39 | |
Could caffeine withdrawal result in an urgent care visit?
Check out the paper mentioned Sajadi-Ernazarova KR, Anderson J, Dhakal A, et al. Caffeine Withdrawal. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430790/ https://www.ncbi.nlm.nih.gov/books/NBK430790/#article-18757.s2
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 02 Feb 2023 | Urgent Bite 159 - Which steroid when the seal barks? | 00:04:36 | |
Do you use Prednisone of Dexamethasone for croup?
Check out the Starship hospital page here - https://starship.org.nz/guidelines/croup/
Or check out the croup overview I mentioned from the AAFP. Zoorob R, Sidani M, Murray J. Croup: An Overview. AAFP. 2011;83(9):1067 - 1073 https://www.aafp.org/pubs/afp/issues/2011/0501/p1067.html
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 02 Jun 2023 | Urgent Bite 175 - Thinking about AI | 00:08:55 | |
Will we need urgent care clinicians in an AI health system?
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 14 Jul 2023 | Urgent Bite 181 - Thinking about Bell’s Palsy | 00:11:10 | |
Bell's palsy can be diagnosed clinically, but it is important to exclude other differentials.
Check out the paper mentioned Induruwa I, Holland N, Gregory R, Khadjooi K. The impact of misdiagnosing Bell's palsy as acute stroke. Clin Med (Lond). 2019 Nov;19(6):494-498. doi: 10.7861/clinmed.2019-0123. PMID: 31732591; PMCID: PMC6899254. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6899254/
Check out the Cochrane Reviews Madhok VB, Gagyor I, Daly F, Somasundara D, Sullivan M, Gammie F, Sullivan F. Corticosteroids for Bell's palsy (idiopathic facial paralysis). Cochrane Database of Systematic Reviews 2016, Issue 7. Art. No.: CD001942. DOI: 10.1002/14651858.CD001942.pub5 https://www.cochrane.org/CD001942/NEUROMUSC_corticosteroids-bells-palsy Gagyor I, Madhok VB, Daly F, Sullivan F. Antiviral treatment for Bell's palsy (idiopathic facial paralysis). Cochrane Database of Systematic Reviews 2019, Issue 9. Art. No.: CD001869. DOI: 10.1002/14651858.CD001869.pub9. Accessed 13 July 2023. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001869.pub9/full
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 09 Aug 2024 | Talking the STUMBL Score with Dr David Sorrell | 00:23:06 | |
When do you perform a chest X-ray for chest trauma presenting through urgent care? This week we chat about this, and the STUMBL score, with Director of Clinical Training Dr David Sorrell.
Check out the STUMBL score on MD Calc - https://www.mdcalc.com/calc/10468/stumbl-battle-score Check out the paper mentioned by Dave Galvez, Carlos, Arenas-Jimenez, Juan, Del Campo, Jone, Maroto, Sergio, Sirera, Marina, Lirio, Francisco, 2020. Diagnostic imaging pathways in the setting of acute chest wall trauma. Journal of Visualized Surgery; Vol 6 (April 2020): https://jovs.amegroups.org/article/view/34041/html
Details of the Bootcamp 2024 in Wellington - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 15 Dec 2023 | Urgent Care Bootcamp 2024 | 00:03:35 | |
The 2024 Urgent Care Bootcamp conference will be held at the Rydges Hotel in Wellington on September 14th and 15th.
If you would like to express an interest in presenting a talk, abstract or poster, go to this link - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 27 Sep 2024 | Urgent Bite 232 - Kehr's Sign | 00:08:10 | |
What is Kehr's sign?
Rastogi V, Singh D, Tekiner H, Ye F, Mazza JJ, Yale SH. Abdominal Physical Signs of Inspection and Medical Eponyms. Clin Med Res. 2019 Dec;17(3-4):115-126. doi: 10.3121/cmr.2019.1420. Epub 2019 Jul 15. PMID: 31308022; PMCID: PMC6886890.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 25 Oct 2024 | Urgent Bite 236 - The Koebner Phenomenon | 00:06:33 | |
What is the Koebner Phenomenon?
Check out the Dermnet pages mentioned. Tattoo-associated skin reactions by Ngan and Elghblawi Koebner Phenomenon by Luo
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 13 Dec 2024 | Urgent Bite 241 - Reye Syndrome | 00:06:53 | |
We should be familiar with Reye Syndrome and its association with aspirin. Check out the Stat Pearls page Chapman J, Arnold JK. Reye Syndrome. [Updated 2023 Jul 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526101/
Check out the original Reye paper REYE RD, MORGAN G, BARAL J. ENCEPHALOPATHY AND FATTY DEGENERATION OF THE VISCERA. A DISEASE ENTITY IN CHILDHOOD. Lancet. 1963 Oct 12;2(7311):749-52. doi: 10.1016/s0140-6736(63)90554-3. PMID: 14055046.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 28 Apr 2023 | Urgent Bite 171 - Cholesteatoma | 00:07:11 | |
Cholesteatoma is an important diagnosis to consider in urgent care.
Castle JT. Cholesteatoma Pearls: Practical Points and Update. Head Neck Pathol. 2018 Sep;12(3):419-429. doi: 10.1007/s12105-018-0915-5. Epub 2018 Aug 1. PMID: 30069838; PMCID: PMC6081285. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081285/
Chang P. Cholesteatoma - diagnosing the unsafe ear. Australian Family Physician. Vol 37. No 8. August 2008. https://www.racgp.org.au/getattachment/a13da39c-2308-451c-8d29-858af3c0382f/attachment.aspx
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 17 Feb 2023 | Urgent Bite 161 - Bowel Cancer in Urgent Care | 00:11:53 | |
Good safety netting and follow-up are vital for patients presenting through UC with rectal bleeding.
Check out the paper mentioned. Lamprell, K., Pulido, D.F., Arnolda, G. et al. People with early-onset colorectal cancer describe primary care barriers to timely diagnosis: a mixed-methods study of web-based patient reports in the United Kingdom, Australia and New Zealand. BMC Prim. Care 24, 12 (2023). https://doi.org/10.1186/s12875-023-01967-0
Check out the Ministry of Health Referral Criteria - https://www.health.govt.nz/system/files/documents/publications/referral-criteria-direct-access-outpatient-colonoscopy-computed-tomography-colonography-feb19-v2.pdf
Check out the BPAC article - https://bpac.org.nz/2020/bowel-cancer.aspx
Check out GP Research Review - https://www.researchreview.co.nz/nz/Clinical-Area/General-Medicine/General-Practice.aspx
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 12 Apr 2024 | Thinking about Chopart injuries - with Dr Antonio Castro | 00:16:16 | |
Today we hear of a case of Chopart injury presenting through urgent care. Thanks to Dr Antonio Castro.
Check out the paper mentioned Metcalfe TSN, Aamir J, Mason LW. Chopart dislocations: a review of diagnosis, treatment and outcomes. Arch Orthop Trauma Surg. 2024 Jan;144(1):131-147. doi: 10.1007/s00402-023-05040-4. Epub 2023 Sep 15. PMID: 37715068; PMCID: PMC10774188.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 14 Apr 2023 | Urgent Bite 169 - Local Anaesthetic Systemic Toxicity | 00:09:12 | |
It is worth refreshing your knowledge on local anaesthetic systemic toxicity.
Check out the papers mentioned. Liem EB, Lin CM, Suleman MI, Doufas AG, Gregg RG, Veauthier JM, Loyd G, Sessler DI. Anesthetic requirement is increased in redheads. Anesthesiology. 2004 Aug;101(2):279-83. doi: 10.1097/00000542-200408000-00006. PMID: 15277908; PMCID: PMC1362956. https://pubmed.ncbi.nlm.nih.gov/15277908/ Gradwohl SC, Aranake A, Abdallah AB, McNair P, Lin N, Fritz BA, Villafranca A, Glick D, Jacobsohn E, Mashour GA, Avidan MS. Intraoperative awareness risk, anesthetic sensitivity, and anesthetic management for patients with natural red hair: a matched cohort study. Can J Anaesth. 2015 Apr;62(4):345-55. doi: 10.1007/s12630-014-0305-8. Epub 2015 Feb 14. PMID: 25681040; PMCID: PMC4661058. https://pubmed.ncbi.nlm.nih.gov/25681040/ Liem EB, Joiner TV, Tsueda K, Sessler DI. Increased sensitivity to thermal pain and reduced subcutaneous lidocaine efficacy in redheads. Anesthesiology. 2005 Mar;102(3):509-14. doi: 10.1097/00000542-200503000-00006. PMID: 15731586; PMCID: PMC1692342. https://pubmed.ncbi.nlm.nih.gov/15731586/ El-Boghdadly K, Pawa A, Chin KJ. Local anesthetic systemic toxicity: current perspectives. Local Reg Anesth. 2018 Aug 8;11:35-44. doi: 10.2147/LRA.S154512. PMID: 30122981; PMCID: PMC6087022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6087022/#b26-lra-11-035 RCH Melbourne Guidelines - https://www.rch.org.au/clinicalguide/guideline_index/Local_anaesthetic_poisoning/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 07 Apr 2023 | Urgent Bite 168 - Talking Hand Injuries with Dr David Sorrell | 00:28:59 | |
Today we catch up with Dr David Sorrell, Director of Clinical Training, to discuss hand injuries.
Check out the JUCM paper that Dave mentions on fight bites. Michael Weinstock, MD; Gabby Gostigian, MD; and Matthew Delaney, MD. A Legal Quandry: A Diagnosis of Cellulitis…That isn't. JUCM. October 2022. Vol 17, No 1. https://www.jucm.com/a-legal-quandary-a-diagnosis-of-cellulitisthat-isnt/
Check out Urgent Bite 156 - https://rnzcuc.podbean.com/e/urgent-bite-156-thinking-about-hand-lacerations-in-urgent-care/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 17 Nov 2023 | Urgent Bite 197 - Subungual Melanoma | 00:09:45 | |
Whether reviewing a possible subungual haematoma or an opportunistic finding, urgent care clinicians need to be aware of subungual melanoma.
Check out the Dermnet page by Dr Nicole Seebacher - https://dermnetnz.org/topics/melanoma-of-the-nail-unit
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 24 May 2024 | Urgent Bite 217 - The ASIS avulsion | 00:06:04 | |
Remember to consider an ASIS avulsion in young athletes who experience pain and a pop around their hip when sprinting.
Check out the Orthobullets page https://www.orthobullets.com/knee-and-sports/3091/anterior-superior-iliac-spine-asis-avulsion
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||
| 01 Sep 2023 | Urgent Bite 187 - Traumatic Tympanic Membrane Rupture | 00:12:18 | |
Døds Diving, or death diving, is a Norwegian extreme sport. Watching it made me consider traumatic tympanic membrane ruptures.
Check out the paper mentioned Carniol ET, Bresler A, Shaigany K, Svider P, Baredes S, Eloy JA, Ying YM. Traumatic Tympanic Membrane Perforations Diagnosed in Emergency Departments. JAMA Otolaryngol Head Neck Surg. 2018 Feb 1;144(2):136-139. doi: 10.1001/jamaoto.2017.2550. PMID: 29270620; PMCID: PMC5839286. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839286/
Check out the Stat Pearls page Dolhi N, Weimer AD. Tympanic Membrane Perforations. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557887/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor | |||