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/      www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed...

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...

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...

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/     www.rnzcuc.org.nz [email protected] 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...

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   www.rnzcuc.org.nz [email protected] 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...

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:...

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:...

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    www.rnzcuc.org.nz [email protected] 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...

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/     www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score...

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:...

What would you think if a patient presents with a spontaneously bruised digit?     Check out the Dermnet page - https://dermnetnz.org/topics/achenbach-syndrome Check out the paper mentioned 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.     www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by...

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....

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   www.rnzcuc.org.nz [email protected] 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...

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:...

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/   www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed...

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....

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)....

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   www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed...

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:...

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/   www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended...

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.     www.rnzcuc.org.nz [email protected] 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...

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/    www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed...

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 [email protected] 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...

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...

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 -...