
Episodes

Friday Feb 21, 2025
Urgent Bite 250 - Swiss Cheese and Professor Reason
Friday Feb 21, 2025
Friday Feb 21, 2025
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
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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 14, 2025
Urgent Bite 249 - Sentinel headaches and SAH
Friday Feb 14, 2025
Friday Feb 14, 2025
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.
Pereira JL, de Albuquerque LA, Dellaretti M, de Carvalho GT, Vieira G Jr, Rocha MI, Loures LL, Christo PP, de Sousa AA. Importance of recognizing sentinel headache. Surg Neurol Int. 2012;3:162. doi: 10.4103/2152-7806.105101. Epub 2012 Dec 26. PMID: 23372978; PMCID: PMC3551504.
The article on the European Stroke Organisation by Dr Diana
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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 07, 2025
Urgent Bite 248 - Grommet extrusion time
Friday Feb 07, 2025
Friday Feb 07, 2025
How long do grommets take to fall out?
Check out the papers mentioned
Song CM, Park MH, Kim YH, Lee JH. Factors affecting the extrusion rate of ventilation tubes. Clin Exp Otorhinolaryngol. 2010 Jun;3(2):70-5. doi: 10.3342/ceo.2010.3.2.70. Epub 2010 Jun 30. PMID: 20607075; PMCID: PMC2896736.
Lin YC, Kao YL, Chen YC, Chen LC, Dang LH, Hung SH. Factors Related to Ventilation Tube Extrusion Time in Children and Adults. Ear Nose Throat J. 2023 Apr;102(4): NP169-NP176. doi: 10.1177/0145561321999204. Epub 2021 Mar 15. PMID: 33720800.
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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 Jan 31, 2025
Urgent Bite 247 - The Vertebral Artery Dissection
Friday Jan 31, 2025
Friday Jan 31, 2025
You might think that neck pain after minor trauma is probably a musculoskeletal injury. But do not forget to consider vertebral artery dissection.
Check out the Stat Pearls page.
Britt TB, Agarwal S. Vertebral Artery Dissection. [Updated 2023 Mar 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441827/
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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 Jan 24, 2025
Urgent Bite 246 - The Holstein-Lewis Fracture
Friday Jan 24, 2025
Friday Jan 24, 2025
Look out for the Holstein-Lewis Fracture which is associated with radial nerve injury. Also, be aware of the torsional forces associated with arm wrestling.
Moloney DP, Feeley I, Hughes AJ, Merghani K, Sheehan E, Kennedy M. Injuries associated with arm wrestling: A narrative review. J Clin Orthop Trauma. 2021 Apr 20;18:30-37. doi: 10.1016/j.jcot.2021.04.010. Erratum in: J Clin Orthop Trauma. 2021 Jul 30;20:101539. doi: 10.1016/j.jcot.2021.101539. PMID: 33996446; PMCID: PMC8091050.
Check out the Radiopaedia page
Lustosa L, Campos A, Bell D, et al. Holstein-Lewis fracture. Reference article, Radiopaedia.org (Accessed on 23 Jan 2025) https://doi.org/10.53347/rID-99967
Check out the OrthoBullets page by Kellish and Weatherford
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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 Jan 17, 2025
Urgent Bite 245 - Neurapraxia
Friday Jan 17, 2025
Friday Jan 17, 2025
It is important to check peripheral neurology after trauma. Neurapraxia, with an o, is one cause of altered sensation.
Check out the Stat Pearls Page for more information.
Carballo Cuello CM, De Jesus O. Neurapraxia. [Updated 2023 Aug 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560501/
And their table outlining the classifications
Biso GMNR, Munakomi S. Neuroanatomy, Neurapraxia. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. [Figure, Seddon and Sunderland Classification of Nerve Injury Contributed by GMN Biso, MD] Available from: https://www.ncbi.nlm.nih.gov/books/NBK557746/figure/article-25766.image.f1/
And the Wikipedia page on Obdormition
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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 Jan 10, 2025
Urgent Bite 244 - Is it a Fracture or a Break?
Friday Jan 10, 2025
Friday Jan 10, 2025
Are your patients aware that a fracture is the same as a break? Do they think that one is worse than the other?
Check out the papers mentioned
Peckham TJ. 'Doctor, have I got a fracture or a break'? Injury. 1994 May;25(4):221-2. doi: 10.1016/0020-1383(94)90065-5. PMID: 8206651. Link to abstract
Kampa RJ, Pang J, Gleeson R. Broken bones and fractures - an audit of patients' perceptions. Ann R Coll Surg Engl. 2006 Nov;88(7):663-6. doi: 10.1308/003588406X149192. PMID: 17132318; PMCID: PMC1963782. Link to paper
Bagley CH, Hunter AR, Bacarese-Hamilton IA. Patients' misunderstanding of common orthopaedic terminology: the need for clarity. Ann R Coll Surg Engl. 2011 Jul;93(5):401-4. doi: 10.1308/003588411X580179. PMID: 21943466; PMCID: PMC3365461. Link to paper
Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. 2019 Jun;36(6):284-289. PMID: 31258322; PMCID: PMC6590951. Link to paper
Check out the two BBC articles mentioned.
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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 Jan 03, 2025
Urgent Bite 243 - DKA with SGLT-2 inhibitors
Friday Jan 03, 2025
Friday Jan 03, 2025
Type 2 diabetics can present with a DKA associated with SGLT-2 inhibitors. And it may be euglycaemic. So be wary.
Check out the Prescriber Update, Vol 45, No 4, Dec 2024
Check out the Stat Pearls page on DKA
Lizzo JM, Goyal A, Gupta V. Adult Diabetic Ketoacidosis. [Updated 2023 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560723/
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 Dec 27, 2024
Urgent Bite 242 - Thinking about worms and abdominal pain
Friday Dec 27, 2024
Friday Dec 27, 2024
Pinworms are often asymptomatic, or cause mild pruritus ani, but do they cause abdominal pain?
Check out the pages mentioned.
Demnet page on pinworms by Daniel Wong
Enterobius vermicularis: a possible cause of symptoms resembling appendicitis Dahlstrom, J.Macarthur, E. et al. Pathology, Volume 25, 5 Link to paper
Panidis S, Paramythiotis D, Panagiotou D, Batsis G, Salonikidis S, Kaloutsi V, Michalopoulos A. Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report. J Med Case Rep. 2011 Nov 30;5:559. doi: 10.1186/1752-1947-5-559. PMID: 22128765; PMCID: PMC3245485. Link to paper
Tariq S. Enterobiasis: threadworm infection presenting as acute appendicitis in a 13-year-old girl. BMJ Case Rep. 2015 Jan 14;2015:bcr2014208543. doi: 10.1136/bcr-2014-208543. PMID: 25589531; PMCID: PMC4307057. Link to paper
Hammood ZD, Salih AM, Mohammed SH, Kakamad FH, Salih KM, Omar DA, Hassan MN, Sidiq SH, Mustafa MQ, Habibullah IJ, Usf DC, Al Obaidi AE. Enterobius vermicularis causing acute appendicitis, a case report with literature review. Int J Surg Case Rep. 2019;63:153-156. doi: 10.1016/j.ijscr.2019.09.025. Epub 2019 Sep 25. PMID: 31586892; PMCID: PMC6796714. Link to paper
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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

Tuesday Dec 24, 2024
The Night Before - An Ode to Urgent Care
Tuesday Dec 24, 2024
Tuesday Dec 24, 2024
If you are working in urgent care over the holiday period, thank you.
https://www.facebook.com/rnzcuc
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