
Episodes

Friday Apr 28, 2023
Urgent Bite 171 - Cholesteatoma
Friday Apr 28, 2023
Friday Apr 28, 2023
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

Friday Apr 21, 2023
Urgent Bite 170 - Pectoralis Major Rupture
Friday Apr 21, 2023
Friday Apr 21, 2023
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

Friday Apr 14, 2023
Urgent Bite 169 - Local Anaesthetic Systemic Toxicity
Friday Apr 14, 2023
Friday Apr 14, 2023
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

Friday Apr 07, 2023
Urgent Bite 168 - Talking Hand Injuries with Dr David Sorrell
Friday Apr 07, 2023
Friday Apr 07, 2023
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

Friday Mar 31, 2023
Urgent Bite 167 -Thinking about Health Literacy
Friday Mar 31, 2023
Friday Mar 31, 2023
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

Friday Mar 24, 2023
Urgent Bite 166 - Torticollis
Friday Mar 24, 2023
Friday Mar 24, 2023
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

Friday Mar 17, 2023
Urgent Bite 165 - Thinking about SUFE
Friday Mar 17, 2023
Friday Mar 17, 2023
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

Friday Mar 10, 2023
Urgent Bite 164 - Thinking about Leukonychia and CPD
Friday Mar 10, 2023
Friday Mar 10, 2023
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

Friday Mar 03, 2023
Urgent Bite 163 - Hypopyon
Friday Mar 03, 2023
Friday Mar 03, 2023
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

Friday Feb 24, 2023
Urgent Bite 162 - Seidel’s Test
Friday Feb 24, 2023
Friday Feb 24, 2023
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