The Podcasts of the Royal New Zealand College of Urgent Care

Research is essential for establishing best practice.  More urgent care specific research will enable best practice to be established for patients attending urgent care clinics with urgent conditions.   If you're interested in joining the College's Urgent Care Research Network, check this link - https://rnzcuc.org.nz/urgent-care-research-network/   Save the date for the College's Bootcamp, which w...

An epistaxis can be severe enough that a patient becomes anaemic and develops shock.  How good are estimations, by patients and clinicians, of blood loss during an epistaxis?   Check out the papers mentioned Townend ML, Byers S. Visual estimation of blood loss by UK pre-hospital clinicians: an observational study. Br Paramed J. 2018 Jun 1;3(1):16-22. doi: 10.29045/14784726.2018.06.3.1.16. PMID: 33...

Developmental Dysplasia of the Hips (DDH) in newborns is screened for by midwives, Plunket nurses, and GPs.  While not a routine part of UC practice, spotting signs and referring appropriately is something we should be aware of in urgent care.     Check out the StarshipHospital page on DDH   Check out the OrthoBullets page on DDH     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com...

The Jahss Manoeuvre is a technique used for reducing metacarpal neck fractures with unacceptable volar angulation.   Check out the original paper by Dr S. Jahss JAHSS, S. A.. FRACTURES OF THE METACARPALS: A New Method of Reduction and Immobilization. The Journal of Bone & Joint Surgery 20(1):p 178-186, January 1938.   Check out the OrthoBullets page on Metacarpal fractures, by Dr J Blomberg  ...

This is a re-upload of the poem released last Christmas Eve.  The message still stands, so it warrents another listen this year.   Thank you to all the staff working in urgent care clinics over the holidays.     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   This podcast is intended to assist in ongoing medical education and peer discussion for...

In this month's prescriber update there are a couple of interesting pieces on causes of anaphylaxis and angioedema, including a supplement that many may use after indulging at Christmas.     Check out the December 2025 Prescriber update   Report an adverse reaction to CARM     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from ...

The movie, Sliding Doors, shows how a simple act like missing getting on a train can result in two different storylines unfurling.   Considering sliding door moments in your practice is a good way to reflect on practice and allows for recognising ways to improve practice.       Sound Effects from pixabay.com used under their content licence.   From users - arunangshubanerjee - 29054022 and freesou...

Adventitious bursae arrive throughout life and are not present at birth.   Check out the Radiopaedia page by Rohit Sharma Check out the paper mentioned KUHNS JG. ADVENTITIOUS BURSAS. Arch Surg. 1943;46(5):687–696. doi:10.1001/archsurg.1943.01220110103019       www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.c...

When considering the broad topic of the upper respiratory tract infection, catarrh and coryza is mentioned.  What are they and why do old and outdated medical terms still persist.   Check out the paper mentioned BLOOM H. Catarrh as a family illness. Proc R Soc Med. 1957 Mar;50(3):167-70. doi: 10.1177/003591575705000312. PMID: 13420158; PMCID: PMC1889102.     www.rnzcuc.org.nz podcast@rnzcuc.org.nz...

When making acute referrals to hospital, there are times when the communication is not as straightforward as you would want.  There are many reasons for this but interpersonal and inter professional relationships are at the core of effective communication.   Check out the paper mentioned. Fattahi H, Seproo FG, Fattahi A, Rostami V, Shokri A. General Practitioners' Perspectives on Barriers to Commu...

Dame Jilly Cooper died of an acute subdural haematoma, following a fall.   Pathways for CT head in adults exist to guide us in determining who needs a CT, but we must not forget the importance of safety netting all elderly people after head injury and to consider measures to prevent patients sustaining head injuries in the first place.   Check out the papers mentioned.   Evans LR, Jones J, Lee HQ,...

Sparklers are a common, handheld firework that are popular with all ages, especially children.  As they are held in front of your face, can they cause eye injuries?   Check out the paper mentioned Shiuey EJ, Kolomeyer AM, Kolomeyer NN. Assessment of Firework-Related Ocular Injury in the US. JAMA Ophthalmol. 2020 Jun 1;138(6):618-623. doi: 10.1001/jamaophthalmol.2020.0832. PMID: 32271352; PMCID: PM...

We must be thorough in reviewing patients who have had direct trauma to their eyes.  Objects that are small enough that the orbit provides no protection are of increased concern.  In addition to other injuries, we need to be aware of orbital floor fractures and commotio retinae.     Check out the Stat Pearls page on Orbital Floor injuries Koenen L, Waseem M. Orbital Floor Fracture. [Updated 2023 D...

Pisa syndrome is rare, but identifiable in urgent care and associated with drugs we will commonly see.  It is a reversible condition.  It highlights the importance of a full drug history and to consider medications as causes of strange symptoms.     Check out the Prescriber Update, Vol 46, No 3, September 2025 Check out the paper mentioned - Link Pitton Rissardo J, Murtaza Vora N, Danaf N, Ramesh...

We should be aware of the early signs of ocular siderosis, also known as siderosis bulbi which would indicate a retained metallic intraocular foreign body.     Check out the Stat Pearls page. Acharya I, Raut AA. Siderosis Bulbi. [Updated 2023 Jan 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com...

Dr Ceri Battle is a Consultant Respiratory Physiotherapist and an Honorary Associate Professor in Swansea.  Ceri's PHD work led to the creation of the STUMBL score, a tool to help determine the risk of complications for patients with rib fractures.    Following her pre-recorded talk to our Bootcamp, she discusses the STUMBL score on the podcast and answers questions that arose from her talk last m...

Why is it called hypochondriasis, and why might it benefit our patients to identify cases and ensure proper follow-up and treatment? Check out the papers mentioned. Sunderland M, Newby JM, Andrews G. Health anxiety in Australia: prevalence, comorbidity, disability and service use. Br J Psychiatry. 2013 Jan;202(1):56-61. doi: 10.1192/bjp.bp.111.103960. Epub 2012 Apr 12. PMID: 22500013. link Florian...

Dr Fiona Moir and Dr Renske van den Brink are directors of Connect Communications.  They both have a background in General Practice and medical education, and they have extensive experience in teaching communication skills to students and experienced clinicians alike.   In Part 2, we consider wellness, burnout prevention, and Balint peer groups, as well as the importance of allocating some of your...

Dr Fiona Moir and Dr Renske van den Brink are directors of Connect Communications.  They both have a background in General Practice and medical education, and they have extensive experience in teaching communication skills to students and experienced clinicians alike.   In part one of this podcast, they tell us how they came to create Connect Communications, and we discuss why communications skill...

For World Sepsis Month, we talk with Ally Hossain, whose son is a sepsis survivor.   What are the important lessons we can take from hearing her son's story so that we can pick up and refer suspected sepsis earlier?     Ally is now the Director of Communications and Engagement for the Sepsis Trust in New Zealand and a board member of the Global Sepsis Alliance.     Check out the Sepsis Trust NZ fo...

September is World Sepsis Month.  Use this as a reason to explore some sepsis related CPD.   Check out the NZ Sepsis Trust website - https://www.sepsis.org.nz/   Become a Sepsis Superhero - https://stopsepsis.org.nz/   Register for the Webinar by Dr Paul Huggan     Register for the Global Sepsis Alliance Webinar   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twit...

Do you see a Christmas tree when you see pityriasis rosea?   Check out the Dermnet page by Prof Amanda Oakley     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 Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professional...

We should be aware of artefacts as a cause of error when interpreting an ECG.   Pérez-Riera AR, Barbosa-Barros R, Daminello-Raimundo R, de Abreu LC. Main artifacts in electrocardiography. Ann Noninvasive Electrocardiol. 2018 Mar;23(2):e12494. doi: 10.1111/anec.12494. Epub 2017 Sep 20. PMID: 28940924; PMCID: PMC6931710. Link   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc...

Heinrich Quincke has a number of eponyms, but Quincke's disease is isolated angioedema of the uvula.   Check out some related papers. Sanchez GA, Boot M, Lathif A. Quincke's disease: an unusual pathology. J Surg Case Rep. 2023 Mar 4;2023(3):rjad085. doi: 10.1093/jscr/rjad085. PMID: 36896152; PMCID: PMC9989133. Link   Johnson W, Shastri N, Fowler M. Quincke's Disease. West J Emerg Med. 2011 Nov;12(...

The RNZCUC Virtual Bootcamp 2025 is on Saturday, September 13th, starting at 0830.   Get your tickets here     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 Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals....