Archive for February 2020

We have finally managed to align the stars such that Dr David Sorrell, Director of Clinical Training, can join us to discuss some recent podcasts.

We discuss the recent Urgent Bite on low risk antibiotic reactions and last month's CME interview on Sepsis.  

We also look forward to the Goodfellow Symposium at the end of March.

www.goodfellowunit.org

 

If you are an Urgent Care clinician and would like to join us each month to discuss matters relating to Urgent Care, please email podcast@rnzcuc.org.nz You do not need any special equipment, a mobile phone will suffice.  Would be great to get lots of different UC voices together to chat once a month.

 

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 ScoreSquad

 

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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Professor Bruce Arroll helps us navigate one of the trickiest consultations in Urgent Care; the depressed patient. 

Check out www.brucearroll.com

For primary care CME and details on the Goodfellow Symposium www.goodfellowunit.org

 

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 ScoreSquad

 

Podcast Hosted by Dr Guy Melrose

 

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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Can you consider prescribing an antibiotic when the patient reports a previous reaction?

Dr Josh Russell is trained in Emergency Medicine in the USA but works now in Urgent Care.  He is the editor in chief of the Journal of Urgent Care Medicine and a contributor to the Hippo Education UC:RAP

Check out the Hippo Education site - www.hippoed.com 

The January 2020 Urgent Care RAP features a more in-depth discussion on low risk antibiotic reactions.

The following papers are those used by Josh to come to his conclusions.

Campagna J et al.  The use of cephalosporins in penicillin allergic patients: a literature review. J Emerg Med 2012;42(5):612-20  https://www.ncbi.nlm.nih.gov/pubmed/?term=Campagna+J%2C+et+al.+The+use+of+cephalosporins+in+penicillin-allergic+patients%3A+a+literature

Shenoy ES et al.  Evaluation and Management of Penicillin Allergy: A review.  JAMA 2019;321(2):188-99 https://www.ncbi.nlm.nih.gov/pubmed/?term=Shenoy+ES%2C+et+al.+Evaluation+and+Management+of+Penicillin+Allergy%3A+A+review.+JAMA+2019%3B321(2)%3A188-99

Pichichero ME et al.  Penicillin and cephalosporin allergy.  Ann Allergy Asthma Immunol 2014; 112:404-12

Check out the Journal of Urgent Care Medicine - https://www.jucm.com 

Follow Josh on Twitter - @UCPracticeTips https://twitter.com/UCPracticeTips

 

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 ScoreSquad

 

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

Read Full Post »

Dr Barbara Blok tells us about a short trial of POCUS she undertook in Urgent Care.  

 

- Ultrasound Imaging and Education (Wendy and Jill)

- Australasian Society of Ultrasound in Medicine

https://www.asum.com.au/

- Australian Institute of Ultrasound

www.aiu.edu.au

- Dr Kelvin Ward FRNZCUC - UC Ultrasound website

https://urgentcareultrasound.co.nz/

- Zedu

www.ultrasoundtraining.com.au

- Otago Postgrad Certificate in Clinician Performed Ultrasound

 

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 ScoreSquad

 

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

Read Full Post »

We should always ask specifically about complimentary therapies as part of the medical and medication history.

 

Paper on Vitamin C induced Oxalate Nephropathy - Int Journal Nephropathy

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096888/

Case report on Tubulointerstitial Nephritis - Indian Journal Nephrology

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704412/

Interactions with St John's Wort - NZF

https://www.nzf.org.nz/interactions/stockleys/of/45982711000116108

Cervical Artery dissection after Chiropractic manipulation - three papers worth reading that highlight the potential risk mentioned

https://www.ncbi.nlm.nih.gov/pubmed/30402438

https://www.ncbi.nlm.nih.gov/pubmed/29951644

https://www.ncbi.nlm.nih.gov/pubmed/28863201

HDC report on case of bilateral pneumothoraces secondary to accupuncture

https://www.hdc.org.nz/media/5291/18hdc00442.pdf

Stuff NZ article on the above case

https://www.stuff.co.nz/national/health/95066646/patients-lung-collapses-during-acupuncture-treatment

 

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 ScoreSquad

 

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

Read Full Post »

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