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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

12:26

Urgent Bite 266 - Lunate and Perilunate Dislocations

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

2025/06/27

How can we avoid missing these rare but commonly missed injuries?Check out the papers mentioned. Pelrine E, Larson E, Freilich A, Dacus AR, Deal N. Treatment and Outcomes of Missed Perilunate Dislocations: A Case Series. J Wrist Surg. 2023 May 8;13(2):171-175. doi: 10.1055/s-0043-1768929. PMID: 38505207; PMCID: PMC10948235. Link Christina Nypaver, Stephen Liu. Perilunate injuries/lunate dislocations and radiocarpal dislocations. Annals of Joint, Vol 6, Oct 15, 2021. Link Pinto A, Berritto

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08:44

Urgent Bite 265 - Peripheral Neuropathy and Vitamin B6

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

2025/06/20

Vitamin B6 is both a prescribed medication and available in many over-the-counter preparations. In high and prolonged doses, it can be a cause of peripheral neuropathy. Check out the Prescriber Update for June 2025 Check out the StatPearls page Hemminger A, Wills BK. Vitamin B6 Toxicity. [Updated 2023 Feb 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025

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09:24

Urgent Bite 264 - Hutchinson's Sign

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

2025/06/13

There are a few Hutchinson's signs, but this one relates to Herpes Zoster Ophthalmicus. Check out the StatPearls page on Herpes Zoster Ophthalmicus Minor M, Payne E. Herpes Zoster Ophthalmicus. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. 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

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17:17

Urgent Bite 263 - Embedded Fishhooks

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

2025/06/06

How do you remove an embedded fishhook?Check out the ALIEM page by Dr Riveros, Dr Kim and Dr Dyer Check out the AAFP article by Dr Gammons and Dr Jackson Link to the UpToDate page (subscription required) Watch the Greatest Ever Try 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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10:00

Urgent Bite 262 - The TFCC

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

2025/05/30

We can diagnose a TFCC injury clinically. Management is much like any sprain, but ongoing issues may need a hand surgeon workup. Check out the OrthoBullets page by Dr Abassi and Dr Vitale 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

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07:52

Urgent Bite 261 - Dysdiadochokinesia

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

2025/05/23

Testing for dysdiadochokinesia is simple, and something we learned way back at the start of medical training. But it is a useful and important test to still do in urgent care Check out the Stat Pearls Page Rocha Cabrero F, De Jesus O. Dysdiadochokinesia. [Updated 2023 Aug 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc Music licensed

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11:40

Urgent Bite 260 - Onychomycosis through Urgent Care

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

2025/05/16

Onychomycosis is not an urgent condition, but it can present through urgent care. Check out the recent BPAC page, reviewed by Prof Amanda Oakley 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

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56:06

In-House Simulations in Urgent Care - with Khang Gan...

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

2025/05/09

This week, we chat with Khang Gan and Erin Carn-Bennett from MedSim Solutions. We discuss psychologically safe simulations and how they can benefit practice. We discuss the benefits of in-house resus simulations and how these can be achieved in urgent care. We also discussed a 4-hour in-house paediatric resus course that they run, which is endorsed as a resus refresher with the College. Check out the MedSim Solutions endorsed

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12:37

Urgent Bite 259 - Microhyphaema

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

2025/05/02

It is important to check for hyphaema, blood in the anterior chamber of the eye, after trauma. It is also important to use a slit lamp to check for microhyphaema. Check out Urgent Bite 162 on Seidel's test Check out Urgent Bite 163 on Hypopyon 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

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06:24

Reflection

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

2025/04/25

ANZAC day prompts us to reflect on the past. As clinicians, reflective practice is a necessary part of our ongoing learning and development. However, reflecting is not just for our clinical practice. Check out details of the Te Papa exhibition - Gallipoli: The Scale of Our War. www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc Music licensed from www.premiumbeat.com A loop from Indomitable by Elliot Middleton This podcast is

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14:30

Urgent Bite 258 - "It hurts when I pee"

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

2025/04/18

How can we avoid errors associated with cognitive biases? In retrospect, we can easily see these biases unfold, but how can we identify them as they happen?Check out the paper mentioned Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med. 2002 Nov;9(11):1184-204. doi: 10.1111/j.1553-2712.2002.tb01574.x. PMID: 12414468. Link to paper Norman G, Pelaccia T, Wyer P, Sherbino J. Dual process models of clinical reasoning: The central

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08:49

Urgent Bite 257 - The Vermilion Border

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

2025/04/11

A tip to ensure you align the vermilion border accurately.Check out the Laceration Repair blog page 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

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12:26

Urgent Bite 256 - Colchicine

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

2025/04/04

Do you use colchicine for acute gout flares? Are you aware of the risk factors for toxicity?Check out the Prescriber update for March 2025 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

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10:16

Urgent Bite 255 - The Knee to Wall Test

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

2025/03/28

What is the knee to wall test and what does it measure?Check out the Physiopaedia page on the Knee to Wall Test 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

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09:36

Urgent Bite 254 - The Patient Agenda

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

2025/03/21

Do you establish the patient agenda at each consultation?Check out the paper mentioned Singh Ospina N, Phillips KA, Rodriguez-Gutierrez R, Castaneda-Guarderas A, Gionfriddo MR, Branda ME, Montori VM. Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters. J Gen Intern Med. 2019 Jan;34(1):36-40. doi: 10.1007/s11606-018-4540-5. Epub 2018 Jul 2. PMID: 29968051; PMCID: PMC6318197. If you want to join the RNZCUC Urgent Care Research Network, check out the link

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10:21

Urgent Bite 253 - UCL elbow injuries and Tommy John

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

2025/03/14

An eponym named after the patient.Check out the Ortho Bullets Page by Dr M Steffes and Dr C Ahmad Check out these two videos from YouTube by The Physio Channel and Sports Med review showing two ways to examine the Ulna Collateral ligament of the Elbow 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

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11:41

Urgent Bite 252 - Considering Barbers

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

2025/03/07

What conditions should we consider in hair professionals? Check out the papers mentioned Al Shenawi H, Al Saad S, Al Shenawi N, Al Rumaihi N, Salmeen Z, Al Sadeh N, Alfehaid AM, Alshelali M, Bin-Jabr MA, Alzeyadi HA, Daoud RM. Prevalence of interdigital pilonidal sinus in hair professionals during the COVID-19 pandemic: A cross-sectional study. J Occup Environ Hyg. 2025 Jan;22(1):31-36. doi: 10.1080/15459624.2024.2420984. Epub 2024 Dec 4. PMID: 39631031. Link to paper Gannon MX, Crowson MC,

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08:53

Urgent Bite 251 - Bitot's Spots

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

2025/02/28

Seeing Bitot's spots is pathognomic of vitamin A deficiency.Check out the papers mentioned Song P, Adeloye D, Li S, Zhao D, Ye X, Pan Q, Qiu Y, Zhang R, Rudan I; Global Health Epidemiology Research Group (GHERG). The prevalence of vitamin A deficiency and its public health significance in children in low- and middle-income countries: A systematic review and modelling analysis. J Glob Health. 2023 Aug 11;13:04084. Link Dermnet page on Vitamin A Deficiency by Brian Wu Bitot Spots: A Pathognomonic

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13:27

Urgent Bite 250 - Swiss Cheese and Professor Reason

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

2025/02/21

Professor James Reason was the originator of the Swiss Cheese model which has been an important model in developing ways to improve patient safety and reduce adverse events in healthcare. Reason J. Human error: models and management. BMJ. 2000 Mar 18;320(7237):768-70. doi: 10.1136/bmj.320.7237.768. PMID: 10720363; PMCID: PMC1117770. Link to paper www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc Music licensed from www.premiumbeat.com Full

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12:23

Urgent Bite 249 - Sentinel headaches and SAH

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

2025/02/14

What is a sentinel headache before a SAH and could they help us pick up earlier on a diagnosis in urgent care?Check out the papers mentioned The ICHD - 3 link that described the sentinel headache Wan Z, Meng H, Xu N, Liu T, Chen Z, Sun Y, Wang H. Clinical characteristics associated with sentinel headache in patients with unruptured intracranial aneurysms. Interv Neuroradiol. 2021 Aug;27(4):497-502. doi: 10.1177/1591019920971977. Epub 2020 Nov 4. PMID: 33148104; PMCID: PMC8580530. Link to

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