The Podcasts of the Royal New Zealand College of Urgent Care – Détails, épisodes et analyse

If you are working in urgent care over the holiday period, thank you.

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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

While the Christmas period is supposed to be a happy holiday for all, there are many increased stressors at this time of year.  These papers give food for thought for the season.  

Mohammad MA, Karlsson S, Haddad J, Cederberg B, Jernberg T, Lindahl B, Fröbert O, Koul S, Erlinge D. Christmas, national holidays, sport events, and time factors as triggers of acute myocardial infarction: SWEDEHEART observational study 199 8-2013. BMJ. 2018 Dec 12;363:k4811. doi: 10.1136/bmj.k4811. PMID: 30541902; PMCID: PMC6289164.  Link to paper

Olsson A, Thorén I, Mohammad MA, Rylance R, Platonov PG, Sparv D, Erlinge D. Christmas holiday triggers of myocardial infarction. Scand Cardiovasc J. 2021 Dec;55(6):340-344. doi: 10.1080/14017431.2021.1983638. Epub 2021 Sep 29. PMID: 34585998.  - Link to paper

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Christmas Elves by - Francesco D'Andrea

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

What should you look for in quadriceps tendon and patella tendon ruptures?

Check out the Orthobullets pages

Patella Tendon by Ben Sharareh MD - https://www.orthobullets.com/knee-and-sports/3024/patellar-tendon-rupture

Quadriceps Tenson by Jason McKean MD - https://www.orthobullets.com/knee-and-sports/3023/quadriceps-tendon-rupture 

Check out the video by Loz and Liz discussing the injury which is mentioned in the podcast - https://www.youtube.com/watch?v=Qwbni5qEPr8 

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podcast@rnzcuc.org.nz

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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 

What is a Felon and what should we do about it?

Check out the papers and pages mentioned.

Nardi NM, McDonald EJ, Syed HA, et al. Felon. [Updated 2024 Apr 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430933/ 

Orthobullets page by Leah Ahn MD

Koshy JC, Bell B. Hand Infections. J Hand Surg Am. 2019 Jan;44(1):46-54. doi: 10.1016/j.jhsa.2018.05.027. Epub 2018 Jul 14. PMID: 30017648.

Clark DC. Common acute hand infections. Am Fam Physician. 2003 Dec 1;68(11):2167-76. PMID: 14677662. https://pubmed.ncbi.nlm.nih.gov/14677662/ 

Tannan SC, Deal DN. Diagnosis and management of the acute felon: evidence-based review. J Hand Surg Am. 2012 Dec;37(12):2603-4. doi: 10.1016/j.jhsa.2012.08.002. PMID: 23174075.

Proegler C. The Panaritium (Felon)-Consequences and Treatment. Chic Med J. 1872 Nov;29(11):656-660. PMID: 37413177; PMCID: PMC9802920. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802920/ 

Billroth T. Panaritium. Atlanta Med Surg J (1884). 1884 Mar;1(1):35-37. PMID: 35827592; PMCID: PMC8925372.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8925372/ 

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 within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

Some important considerations when working up chest pain that will make us think of a thoracic aneurysm.  

Check out the paper mentioned

Habib M, Lindström D, Lilly JB, D'Oria M, Wanhainen A, Khashram M, Dean A, Mani K. Descending thoracic aortic emergencies: Past, present, and future. Semin Vasc Surg. 2023 Jun;36(2):139-149. doi: 10.1053/j.semvascsurg.2023.04.009. Epub 2023 Apr 30. PMID: 37330228.

Check out the MDCalc page for ADDRS

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 within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

What is Kehr's sign?  

Check out the paper mentioned

Rastogi V, Singh D, Tekiner H, Ye F, Mazza JJ, Yale SH. Abdominal Physical Signs of Inspection and Medical Eponyms. Clin Med Res. 2019 Dec;17(3-4):115-126. doi: 10.3121/cmr.2019.1420. Epub 2019 Jul 15. PMID: 31308022; PMCID: PMC6886890.  

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 within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

Drug-induced tendinopathy can occur early, and late in a person's usage.  So we must consider a patient's medication history closely whenever they have symptoms of tendinopathy or rupture.   

Check out the September 2024 Prescriber update, Vol 5, No 3.

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 within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

Dry socket might present to urgent care.  What is it and what should we do about it?

Check out the papers mentioned

Chemaly D. How do I manage a patient with dry socket? J Can Dent Assoc. 2013;79:d54. PMID: 23763736.  https://pubmed.ncbi.nlm.nih.gov/23763736/ 

Mamoun J. Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques. J Korean Assoc Oral Maxillofac Surg. 2018 Apr;44(2):52-58. doi: 10.5125/jkaoms.2018.44.2.52. Epub 2018 Apr 25. PMID: 29732309; PMCID: PMC5932271.

https://pubmed.ncbi.nlm.nih.gov/29732309/ 

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 within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

A caddy offers words of wisdom to their golfer.  Some of their advice is relevant to urgent care.  

Check out the paper mentioned

Gotlieb R, Praska C, Hendrickson MA, Marmet J, Charpentier V, Hause E, Allen KA, Lunos S, Pitt MB. Accuracy in Patient Understanding of Common Medical Phrases. JAMA Netw Open. 2022 Nov 1;5(11):e2242972. doi: 10.1001/jamanetworkopen.2022.42972. PMID: 36449293; PMCID: PMC9713608.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713608/ 

Check out the LITFL article, by Chris Nickson, Nov 2020 

https://litfl.com/communication-in-a-crisis/ 

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 within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

We always look for the sail sign when reviewing radiographs of the elbow, but how often are they associated with occult fractures?

Check out the papers mentioned

Skaggs DL, Mirzayan R. The posterior fat pad sign in association with occult fracture of the elbow in children. J Bone Joint Surg Am. 1999 Oct;81(10):1429-33. doi: 10.2106/00004623-199910000-00007. PMID: 10535592.

https://pubmed.ncbi.nlm.nih.gov/10535592/

Al-Aubaidi Z, Torfing T. The role of fat pad sign in diagnosing occult elbow fractures in the pediatric patient: a prospective magnetic resonance imaging study. J Pediatr Orthop B. 2012 Nov;21(6):514-9. doi: 10.1097/BPB.0b013e328355e5d8. PMID: 22735922.

https://pubmed.ncbi.nlm.nih.gov/22735922/

Kappelhof B, Roorda BL, Poppelaars MA, The B, Eygendaal D, Mulder PGH, van Bergen CJA. Occult Fractures in Children with a Radiographic Fat Pad Sign of the Elbow: A Meta-Analysis of 10 Published Studies. JBJS Rev. 2022 Oct 24;10(10). doi: 10.2106/JBJS.RVW.22.00114. PMID: 36326720.

https://pubmed.ncbi.nlm.nih.gov/36326720/ 

Scheier E, Fuchs L, Taragin BH, Balla U, Shavit I. Children With Elbow Injuries and Sonographic Elevated Posterior Fat Pad but No Identifiable Posterior Fat Pad on Lateral Radiographs: A Case Series. J Ultrasound Med. 2023 Jul;42(7):1617-1624. doi: 10.1002/jum.16173. Epub 2023 Jan 12. PMID: 36633969.

https://pubmed.ncbi.nlm.nih.gov/36633969/

Check out the Radiopaedia Article on the Sail Sign

Gaillard F, Feger J, Ismail M, et al. Sail sign (elbow). Reference article, Radiopaedia.org (Accessed on 29 Aug 2024) https://doi.org/10.53347/rID-2014

Check out the original paper by Norell

NORELL HG. Roentgenologic visualization of the extracapsular fat; its importance in the diagnosis of traumatic injuries to the elbow. Acta radiol. 1954 Sep;42(3):205-10. doi: 10.3109/00016925409174478. PMID: 13206822.

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 within your scope of practice at all times.  For personal medical advice always consult your usual doctor