The Podcasts of the Royal New Zealand College of Urgent Care

Do you perform a DRE before referring a suspected case of cauda equina syndrome?   Check out the Stat Pearls page Rider LS, Marra EM. Cauda Equina and Conus Medullaris Syndromes. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-   Check out the papers mentioned Sherlock KE, Turner W, Elsayed S, Bagouri M, Baha L, Boszczyk BM, McNally D. The Eva...

Ecthyma is a deeper form of impetigo and can leave scarring.   Check out the Dermnet pages Ecthyma by Vanessa Ngan and Dr Jannnet Gomez Impetigo by Prof Amanda Oakley and Dr Katie Quirke     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 on...

Why is it called a mallet finger?   Check out the OrthoBullets page by Dr Paras     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.  Please ensure you work wit...

What to consider when faced with an ear laceration.   Williams CH, Sternard BT. Complex Ear Lacerations. [Updated 2023 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.  Link   Link to the Laceration Repair Blog     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.com...

Wound glue is commonly used in urgent care, and it has an interesting history.   Krishnamoorthy B, Najam O, Khan UA, Waterworth P, Fildes JE, Yonan N. Randomized prospective study comparing conventional subcuticular skin closure with Dermabond skin glue after saphenous vein harvesting. Ann Thorac Surg. 2009 Nov;88(5):1445-9. doi: 10.1016/j.athoracsur.2009.06.047. PMID: 19853089. Link     Rushbrook...

How can we avoid missing these rare but commonly missed injuries?   Check out the papers mentioned. Pelrine E, Larson E, Freilich A, Dacus AR, Deal N. Treatment and Outcomes of Missed Perilunate Dislocations: A Case Series. J Wrist Surg. 2023 May 8;13(2):171-175. doi: 10.1055/s-0043-1768929. PMID: 38505207; PMCID: PMC10948235. Link   Christina Nypaver, Stephen Liu. Perilunate injuries/lunate dislo...

Vitamin B6 is both a prescribed medication and available in many over-the-counter preparations.  In high and prolonged doses, it can be a cause of peripheral neuropathy.     Check out the Prescriber Update for June 2025   Check out the StatPearls page Hemminger A, Wills BK. Vitamin B6 Toxicity. [Updated 2023 Feb 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-...

There are a few Hutchinson's signs, but this one relates to Herpes Zoster Ophthalmicus.     Check out the StatPearls page on Herpes Zoster Ophthalmicus Minor M, Payne E. Herpes Zoster Ophthalmicus. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/r...

How do you remove an embedded fishhook?   Check out the ALIEM page by Dr Riveros, Dr Kim and Dr Dyer   Check out the AAFP article by Dr Gammons and Dr Jackson   Link to the UpToDate page (subscription required)   Watch the Greatest Ever Try     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...

We can diagnose a TFCC injury clinically.  Management is much like any sprain, but ongoing issues may need a hand surgeon workup.     Check out the OrthoBullets page by Dr Abassi and Dr Vitale   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 i...

Testing for dysdiadochokinesia is simple, and something we learned way back at the start of medical training.  But it is a useful and important test to still do in urgent care    Check out the Stat Pearls Page Rocha Cabrero F, De Jesus O. Dysdiadochokinesia. [Updated 2023 Aug 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.    www.rnzcuc.org.nz podcast@rnzcuc...

Onychomycosis is not an urgent condition, but it can present through urgent care.    Check out the recent BPAC page, reviewed 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 discus...

This week, we chat with Khang Gan and Erin Carn-Bennett from MedSim Solutions.   We discuss psychologically safe simulations and how they can benefit practice.  We discuss the benefits of in-house resus simulations and how these can be achieved in urgent care.  We also discussed a 4-hour in-house paediatric resus course that they run, which is endorsed as a resus refresher with the College.   Chec...

It is important to check for hyphaema, blood in the anterior chamber of the eye, after trauma.  It is also important to use a slit lamp to check for microhyphaema.     Check out Urgent Bite 162 on Seidel's test Check out Urgent Bite 163 on Hypopyon     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.com Full...

ANZAC day prompts us to reflect on the past.     As clinicians, reflective practice is a necessary part of our ongoing learning and development.  However, reflecting is not just for our clinical practice.     Check out details of the Te Papa exhibition - Gallipoli: The Scale of Our War.           www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   M...

How can we avoid errors associated with cognitive biases?  In retrospect, we can easily see these biases unfold, but how can we identify them as they happen? Check out the paper mentioned   Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med. 2002 Nov;9(11):1184-204. doi: 10.1111/j.1553-2712.2002.tb01574.x. PMID: 12414468. Link to...

A tip to ensure you align the vermilion border accurately.   Check out the Laceration Repair blog page     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.  Ple...

Do you use colchicine for acute gout flares?  Are you aware of the risk factors for toxicity?   Check out the Prescriber update for March 2025     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...

What is the knee to wall test and what does it measure?   Check out the Physiopaedia page on the Knee to Wall Test   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 professio...

Do you establish the patient agenda at each consultation?   Check out the paper mentioned Singh Ospina N, Phillips KA, Rodriguez-Gutierrez R, Castaneda-Guarderas A, Gionfriddo MR, Branda ME, Montori VM. Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters. J Gen Intern Med. 2019 Jan;34(1):36-40. doi: 10.1007/s11606-018-4540-5. Epub 2018 Jul 2. PMID: 29968051; PMCID: P...

An eponym named after the patient.   Check out the Ortho Bullets Page by Dr M Steffes and Dr C Ahmad   Check out these two videos from YouTube by The Physio Channel and Sports Med review showing two ways to examine the Ulna Collateral ligament of the Elbow     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.c...

What conditions should we consider in hair professionals?    Check out the papers mentioned Al Shenawi H, Al Saad S, Al Shenawi N, Al Rumaihi N, Salmeen Z, Al Sadeh N, Alfehaid AM, Alshelali M, Bin-Jabr MA, Alzeyadi HA, Daoud RM. Prevalence of interdigital pilonidal sinus in hair professionals during the COVID-19 pandemic: A cross-sectional study. J Occup Environ Hyg. 2025 Jan;22(1):31-36. doi: 10...

Seeing Bitot's spots is pathognomic of vitamin A deficiency.   Check out the papers mentioned Song P, Adeloye D, Li S, Zhao D, Ye X, Pan Q, Qiu Y, Zhang R, Rudan I; Global Health Epidemiology Research Group (GHERG). The prevalence of vitamin A deficiency and its public health significance in children in low- and middle-income countries: A systematic review and modelling analysis. J Glob Health. 20...

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   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https...

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):49...