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PODCAST

The Podcasts of the Royal New Zealand College of Urgent Care

Home of the Official Podcasts of the RNZCUC - these are intended to provide ongoing education for medical professionals and should not be used for self diagnosis. Always consult your regular doctor. Always work within your scope of practice.

health & fitness medicine

All Episodes

09:38

Urgent Bite 184 - Kawasaki Disease

The Podcasts of the Royal New Zealand College of... ·

2023/08/04

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 www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.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

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08:32

Urgent Bite 183 - Elson’s Test

The Podcasts of the Royal New Zealand College of... ·

2023/07/28

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

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08:14

Urgent Bite 182 - High Pressure Injection Injuries

The Podcasts of the Royal New Zealand College of... ·

2023/07/20

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 -

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11:10

Urgent Bite 181 - Thinking about Bell’s Palsy

The Podcasts of the Royal New Zealand College of... ·

2023/07/14

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

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07:28

Urgent Bite 180 - Kanavel’s Sign

The Podcasts of the Royal New Zealand College of... ·

2023/07/07

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 www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.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

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06:10

Urgent Bite 179 - Looking at the Tongue

The Podcasts of the Royal New Zealand College of... ·

2023/06/30

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.newscientist.com/lastword/mg25333781-200-why-does-sticking-my-tongue-out-seem-to-help-me-concentrate/ www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc Music licensed

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09:18

Urgent Bite 178 - Tibial Stress Fracture

The Podcasts of the Royal New Zealand College of... ·

2023/06/23

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 -

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14:47

Urgent Bite 177 - Talking corneal foreign body...

The Podcasts of the Royal New Zealand College of... ·

2023/06/16

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 -

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06:16

Urgent Bite 176 - Latissimus Dorsi Tears

The Podcasts of the Royal New Zealand College of... ·

2023/06/09

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

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08:55

Urgent Bite 175 - Thinking about AI

The Podcasts of the Royal New Zealand College of... ·

2023/06/02

Will we need urgent care clinicians in an AI health system? www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.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

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05:41

Urgent Bite 174 - Cullen’s Sign

The Podcasts of the Royal New Zealand College of... ·

2023/05/26

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/ www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc Music licensed

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05:15

Urgent Bite 173- Smegma Pearls

The Podcasts of the Royal New Zealand College of... ·

2023/05/19

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:

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08:34

Urgent Bite 172 - The Budapest Criteria

The Podcasts of the Royal New Zealand College of... ·

2023/05/12

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 www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.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

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31:22

Talking about errors with Dr Ivan Koay

The Podcasts of the Royal New Zealand College of... ·

2023/05/05

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

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07:11

Urgent Bite 171 - Cholesteatoma

The Podcasts of the Royal New Zealand College of... ·

2023/04/28

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.

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07:45

Urgent Bite 170 - Pectoralis Major Rupture

The Podcasts of the Royal New Zealand College of... ·

2023/04/21

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 www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc Music licensed from www.premiumbeat.com Full Grip by Score Squad This

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09:12

Urgent Bite 169 - Local Anaesthetic Systemic Toxicity

The Podcasts of the Royal New Zealand College of... ·

2023/04/14

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,

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28:59

Urgent Bite 168 - Talking Hand Injuries with Dr David...

The Podcasts of the Royal New Zealand College of... ·

2023/04/07

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 -

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08:14

Urgent Bite 167 -Thinking about Health Literacy

The Podcasts of the Royal New Zealand College of... ·

2023/03/31

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

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09:33

Urgent Bite 166 - Torticollis

The Podcasts of the Royal New Zealand College of... ·

2023/03/23

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

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