
Episodes

Friday Aug 09, 2024
Talking the STUMBL Score with Dr David Sorrell
Friday Aug 09, 2024
Friday Aug 09, 2024
When do you perform a chest X-ray for chest trauma presenting through urgent care?
This week we chat about this, and the STUMBL score, with Director of Clinical Training Dr David Sorrell.
Check out the STUMBL score on MD Calc - https://www.mdcalc.com/calc/10468/stumbl-battle-score
Check out the paper mentioned by Dave
Galvez, Carlos, Arenas-Jimenez, Juan, Del Campo, Jone, Maroto, Sergio, Sirera, Marina, Lirio, Francisco, 2020. Diagnostic imaging pathways in the setting of acute chest wall trauma. Journal of Visualized Surgery; Vol 6 (April 2020): https://jovs.amegroups.org/article/view/34041/html
Details of the Bootcamp 2024 in Wellington - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
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 Aug 02, 2024
Urgent Bite 225 - Anticholinergics in the elderly
Friday Aug 02, 2024
Friday Aug 02, 2024
We need to be aware of medications with anticholinergic effects, especially in the elderly.
Check out the BPAC article mentioned - https://bpac.org.nz/2024/anticholinergic.aspx#tab1
Check out the ACB calculator by Dr Rebecca King and Steve Rabino - https://www.acbcalc.com/
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 Jul 26, 2024
Urgent Bite 224 - Walking on your ankle injury
Friday Jul 26, 2024
Friday Jul 26, 2024
Weight-bearing at the time of the injury and assessment forms part of the Ottawa ankle rules.
Chien B, Hofmann K, Ghorbanhoseini M, Zurakowski D, Rodriguez EK, Appleton P, Ellington JK, Kwon JY. Relationship of Self-Reported Ability to Weight-Bear Immediately After Injury as Predictor of Stability for Ankle Fractures. Foot Ankle Int. 2016 Sep;37(9):983-8. doi: 10.1177/1071100716648009. Epub 2016 May 9. PMID: 27162225.
Check out the original Ottawa ankle paper
Stiell IG, McDowell I, Nair RC, Aeta H, Greenberg G, McKnight RD, Ahuja J. Use of radiography in acute ankle injuries: physicians' attitudes and practice. CMAJ. 1992 Dec 1;147(11):1671-8. PMID: 1362372; PMCID: PMC1336591.
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 Jul 19, 2024
Urgent Bite 223 - Using smell to diagnose
Friday Jul 19, 2024
Friday Jul 19, 2024
Smell can be used to diagnose.
Check out the paper mentioned
Trivedi DK, Sinclair E, Xu Y, Sarkar D, Walton-Doyle C, Liscio C, Banks P, Milne J, Silverdale M, Kunath T, Goodacre R, Barran P. Discovery of Volatile Biomarkers of Parkinson's Disease from Sebum. ACS Cent Sci. 2019 Apr 24;5(4):599-606. doi: 10.1021/acscentsci.8b00879. Epub 2019 Mar 20.
https://pubmed.ncbi.nlm.nih.gov/31041379/
Check out the BBC interview with Joy Milne
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 Jul 12, 2024
Urgent Bite 222 - Antihistamines use in eczema
Friday Jul 12, 2024
Friday Jul 12, 2024
Do antihistamines help with the itch of dermatitis?
Check out the paper mentioned
Nankervis H, Thomas KS, Delamere FM, Barbarot S, Rogers NK, Williams HC. Scoping systematic review of treatments for eczema. Southampton (UK): NIHR Journals Library; 2016 May. PMID: 27280278.
Check out the Dermnet NZ page.
Authors: Dr Amy Stanway, Department of Dermatology, Waikato Hospital, Hamilton, New Zealand, February 2004; Updated: Honorary Associate Professor Paul Jarrett, Dermatologist, Middlemore Hospital and Department of Medicine, The University of Auckland, Auckland, New Zealand, February 2021. Minor internal update May 2023.
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 Jul 05, 2024
Urgent Bite 221 - Overseas medication
Friday Jul 05, 2024
Friday Jul 05, 2024
When you need help with identifying medications from overseas visitors, you can always call your local pharmacist, or you could try this website.
Check out the webpage mentioned - https://www.resourcepharm.com/pharmacist/identification-of-foreign-medicines.html
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 Jun 28, 2024
Urgent Bite 220 - Helping in an emergency
Friday Jun 28, 2024
Friday Jun 28, 2024
As medical professionals, we must know our legal and moral obligations to help in case of emergency.
Check out the MCNZ page on helping in an emergency.
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 Jun 21, 2024
Urgent Bite 219 - Music to help you focus, sleep and relax
Friday Jun 21, 2024
Friday Jun 21, 2024
Certain music can help improve your concentration, help you relax and improve your sleep.
Check out https://www.brain.fm/
Check out their white paper.
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 Jun 14, 2024
Urgent Bite 218 - Thinking about cold and flu remedies
Friday Jun 14, 2024
Friday Jun 14, 2024
Cold and flu remedies containing pseudoephedrine are now a class C drug in New Zealand and available from pharmacies.
Check out the prescriber update from June 2024.
Check out the Ministry of Health page.
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 Jun 07, 2024
Friday Jun 07, 2024
Dr Tony Smith, Deputy Clinical Director at Hato Hone St John, tells us about Double Sequential and Vector Change Defibrillation for resistant VF/VT. These new techniques, not currently covered in our NZRC resus algorithms, are being utilised by all ambulance services in New Zealand for patients who do not get ROSC after three shocks.
Tony can be contacted for questions at - Tony.Smith@stjohn.org.nz
Check out the paper mentioned
Cheskes S, Verbeek PR, Drennan IR, McLeod SL, Turner L, Pinto R, Feldman M, Davis M, Vaillancourt C, Morrison LJ, Dorian P, Scales DC. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. 2022 Nov 24;387(21):1947-1956. doi: 10.1056/NEJMoa2207304. Epub 2022 Nov 6. PMID: 36342151.
https://www.nejm.org/doi/full/10.1056/NEJMoa2207304
And the editorial - https://www.nejm.org/doi/full/10.1056/NEJMe2213562
Check out the Article from the Conversation - https://theconversation.com/a-new-emergency-procedure-for-cardiac-arrests-aims-to-save-more-lives-heres-how-it-works-221979
Check out the article from the NZMJ
Dicker B, Maessen S, Swain A, Garcia E, Smith T. Are two shocks better than one? Aotearoa New Zealand emergency medical services implement a new defibrillation strategy: implications for around nine patients per week. N Z Med J. 2024 Mar 22;137(1592):105-107. doi: 10.26635/6965.6429. PMID: 38513209.
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