
Episodes

Friday Nov 09, 2018
Urgent Bite 8 - When Language is a Barrier
Friday Nov 09, 2018
Friday Nov 09, 2018
Welcome to this week's Urgent Bite. Today we look at recent comments in the BMJ from 2 of the UK's Medical Defence organisations regarding the use of online translation tools in clinical practice. Should we use them in consultations with patients when there is a language barrier?
https://www.bmj.com/content/363/bmj.k4546
https://www.bmj.com/content/349/bmj.g7392
Thanks to Dr Danny Liao for his audio introduction
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Friday Nov 02, 2018
Urgent Bite 7 - Shoulder Relocation using the Cunningham Technique
Friday Nov 02, 2018
Friday Nov 02, 2018
Welcome to this week's Urgent Bite. Today we look at a gentle yet effective way to reduce Anterior Shoulder Dislocations. It is a single operator technique and requires no sedation so could prove handy in the Urgent Care setting. It is called the Cunningham Technique and you can see it explained by the creator in the You Tube link below.
https://www.youtube.com/watch?v=d9HjtQr0c64
Life in the Fast Lane article - https://lifeinthefastlane.com/cunninghams-shoulder-relocation/
Original Paper describing the Technique - https://www.ncbi.nlm.nih.gov/pubmed/14992071
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Friday Oct 26, 2018
Episode 3 - Heads up, we are talking Concussion
Friday Oct 26, 2018
Friday Oct 26, 2018
Welcome to Episode 3 of the Official Podcast of the Royal New Zealand College of Urgent Care. Today we talk about concussion with Sports Physician Dr Kevin Bell. Please find below links to all relevant articles and information discussed along with time codes for each segment.
Concussion with Dr Kevin Bell - (1.52)
SCAT5 - https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf
https://healthpages.co.nz/directory/listing/sports-medicine-kevin-bell
Dr David Sorrell - (35.10)
https://www.acc.co.nz/assets/contracts/concussion-og.pdf
Nurses Station with Amor Kisling NP - Removing Rings - (52.22)
https://rnzcuc.org.nz/ring-removal/
https://www.youtube.com/watch?v=onOnJOtE_X8
Emails - (1hr05)
News - (1hr12)
Stuff Article about Pneumonia - https://www.stuff.co.nz/national/health/107557872/doctor-missed-big-red-flag-about-stephanie-paratas-health-hours-before-she-died-coroner-hears
MDcalc NEWS Score - https://www.mdcalc.com/national-early-warning-score-news
Good SAM app Stuff article - https://www.stuff.co.nz/national/107855504/no-heartbeat-on-the-side-of-the-road-when-an-app-summoned-help
Link to St Johns Good SAM page - https://www.stjohn.org.nz/First-Aid/goodsam/
UCPEX exam information - https://rnzcuc.org.nz/completing-the-training-programme/training-programme-components/ucpex/
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Friday Oct 19, 2018
Urgent Bite 6 - NSAIDs for Soft Tissue injury - featuring Dr Kevin Bell
Friday Oct 19, 2018
Friday Oct 19, 2018
Welcome to this week's Urgent Bite. Today we revisit NSAIDs, this time looking at their use in acute soft tissue injury. We hear briefly from Sports Physician Dr Kevin Bell. When should we use NSAIDs for acute soft tissue injuries?
Physical Therapy Journal Article - https://academic.oup.com/ptj/article/97/8/807/3826991
https://healthpages.co.nz/directory/listing/sports-medicine-kevin-bell
https://www.facebook.com/rnzcuc
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Friday Oct 12, 2018
Urgent Bite 5 - Digital Anaesthesia
Friday Oct 12, 2018
Friday Oct 12, 2018
Welcome to this week's Urgent Bite. Today we look at an alternative to the often used Double Dorsal Ring Block for digital anaesthesia.
You Tube Clip - https://www.youtube.com/watch?v=G6jyw7l3bZs
Academic Life in Emergency Medicine Article - https://www.aliem.com/2010/09/trick-of-trade-single-digital-block/
Emergency Medicine Australasia Study 2016 - https://www.ncbi.nlm.nih.gov/pubmed/26991958
Plastic and Reconstructive Surgery Article 2006 - https://www.ncbi.nlm.nih.gov/pubmed/17016190
Emergency Medicine Journal Article 2010 - https://www.ncbi.nlm.nih.gov/pubmed/20360491
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Friday Oct 05, 2018
Urgent Bite 4 - Tendinopathy with Dr Kevin Bell
Friday Oct 05, 2018
Friday Oct 05, 2018
Welcome to this week's Urgent Bite. Today we hear from Dr Kevin Bell, Sports Physician, who has a special interest in Tendinopathy. Here he talks briefly about the best treatment options and the things to avoid when managing tendinopathy.
https://healthpages.co.nz/directory/listing/sports-medicine-kevin-bell
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Friday Sep 28, 2018
Episode 2 - Statements, Forensics and Court appearances in Urgent Care
Friday Sep 28, 2018
Friday Sep 28, 2018
Welcome to Episode 2. Please find below the contents of this podcast along with time marks for each section. You will also find links to studies and articles discussed.
Interview with Dr Jack Drummond (2.21) - FRNZCGP, M Forensic Medicine (Monash), FRACGP, FFCFM (RCPA). National Coordinator of Forensic Medicine for New Zealand Police -
Nurses Station with Amor Kisling NP (32.15) - How to safely remove a Plaster Cast
Good overview of Cast Cares - https://www.ncbi.nlm.nih.gov/pubmed/19753778/
Reducing Risk of Thermal Burns article -https://www.ncbi.nlm.nih.gov/pubmed/25075891
How to avoid Cast Burns - https://www.ncbi.nlm.nih.gov/pubmed/27152901
Reducing Cast Burns in Orthopaedic residents - https://www.ncbi.nlm.nih.gov/pubmed/28872536
Emails (48.06)
Urgent Bite 3 - https://rnzcuc.podbean.com/e/urgent-bite-3-nsaid-use-in-fractures/
Urgent Bite 2 - https://rnzcuc.podbean.com/e/urgent-bite-2-obtaining-msu-in-children/
News (55.43)
First Kiss saves a Life - http://time.com/5381534/california-cpr-first-kiss/
Apple Watch detects arrhythmias - https://www.bbc.com/news/technology-45518040
When Dr Google is correct - https://www.nzherald.co.nz/lifestyle/news/article.cfm?c_id=6&objectid=12126510
A Rose nearly killed me -
BPAC detecting Sepsis -
https://bpac.org.nz/guidelines/4/
Elite Rower and prescribed Probenecid -
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Friday Sep 21, 2018
Profile in Urgent Care - Part 1 - Dr Dinesh Deonarain
Friday Sep 21, 2018
Friday Sep 21, 2018
Welcome to our first Profile in Urgent Care. In this Profile we talk to Dr Dinesh Deonarain about how he became an Urgent Care Physician and how it has allowed him to maintain a work life balance and pursue his passion for wilderness medicine.
- Bachelor of Science with honours specialisation in Zoology (BSc. Hons. Zoology)
- Doctor of Medicine (MD) graduate with honours distinction
- Diploma in Community Emergency Medicine (PGDipCEM)
- Fellow of the Academy of Wilderness Medicine (FAWM)
- Fellow of the Royal New Zealand College of Urgent Care (FRNZCUC)
- Member of the Wilderness Medical Society (WMS)
- Clinical Director of the Urgent Care Clinic, Marlborough, NZ
- Locum Emergency Senior Medical Officer
- Active volunteer with the Himalayan Rescue Association (HRA) of Nepal
- Advanced Wilderness Life Support (AWLS) instructor with WildMed (NZ)

Friday Sep 21, 2018
Urgent Bite 3 - NSAID use in Fractures
Friday Sep 21, 2018
Friday Sep 21, 2018
Welcome to this week's Urgent Bite. Today we ask the community whether they use Non Steroidal Anti-inflammatory drugs for fracture pain. Please read the articles discussed and contribute your thoughts via Facebook or email podcast@rnzcuc.org.nz
Canadian Family Physician Article - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4162697/
Journal Family Practice Article- https://www.mdedge.com/jfponline/article/64172/musculoskeletal-disorders/do-nsaids-impede-fracture-healing
Journal of Clinical Anaesthesia Article - https://www.sciencedirect.com/science/article/pii/S0952818018301971
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Friday Sep 14, 2018
Urgent Bite 2 - Obtaining MSU in Children
Friday Sep 14, 2018
Friday Sep 14, 2018
Welcome to this week's Urgent Bite. Today we are asking how you go about obtaining MSU in children who cannot void on command. Given Urine Bags are not suitable for sending accurate MSU what are the other options in Urgent Care?
Please email your thoughts to podcast@rnzcuc.org.nz
Starship Hospital Guidelines - https://www.starship.org.nz/for-health-professionals/starship-clinical-guidelines/u/urinary-tract-infection/
BPAC NZ guidelines - https://bpac.org.nz/BPJ/2012/May/uti.aspx
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