Explorez tous les épisodes du podcast The Podcasts of the Royal New Zealand College of Urgent Care
| Titre | Date | Durée | |
|---|---|---|---|
| The Night Before - An Ode to Urgent Care | 24 Dec 2024 | 00:03:32 | |
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 | |||
| A Christmas Bite - Myocardial Infarction at Christmas | 20 Dec 2024 | 00:05:59 | |
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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Music licensed from www.premiumbeat.com 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 | |||
| Urgent Bite 235 - Tendon injuries around the Patella | 18 Oct 2024 | 00:15:11 | |
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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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 | |||
| Urgent Bite 234 - The Felon | 11 Oct 2024 | 00:12:33 | |
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/
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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 | |||
| Urgent Bite 233 - Thoracic Aneurysm considerations | 04 Oct 2024 | 00:12:02 | |
Some important considerations when working up chest pain that will make us think of a thoracic aneurysm.
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
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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 | |||
| Urgent Bite 232 - Kehr's Sign | 27 Sep 2024 | 00:08:10 | |
What is Kehr's sign?
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.
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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 | |||
| Urgent Bite 231 - Drug induced tendinopathy | 20 Sep 2024 | 00:12:36 | |
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.
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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 | |||
| Urgent Bite 230 - Dry Socket | 13 Sep 2024 | 00:07:12 | |
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/
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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
| |||
| Urgent Bite 229 - Listening to the Caddy | 06 Sep 2024 | 00:14:33 | |
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/
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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 | |||
| Urgent Bite 228 - Thinking about the Sail Sign | 30 Aug 2024 | 00:08:12 | |
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.
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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 | |||
| Urgent Bite 227 - The Cluster Headache | 23 Aug 2024 | 00:12:11 | |
Cluster headaches present through urgent care and it is important to differentiate them correctly.
Check out the paper on which Lisa Kudrow has a credit Messinger HB, Messinger MI, Kudrow L, Kudrow LV. Handedness and headache. Cephalalgia. 1994 Feb;14(1):64-7. doi: 10.1046/j.1468-2982.1994.1401064.x. PMID: 8200028.
Check out the paper mentioned Weaver-Agostoni J. Cluster headache. Am Fam Physician. 2013 Jul 15;88(2):122-8. PMID: 23939643.
This links to the ICHD-3 Cluster Headache page
Check out the BPAC article mentioned
For Bootcamp details - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
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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 | |||
| Urgent Bite 226 - The Popeye Sign | 16 Aug 2024 | 00:10:30 | |
Don't confuse the Popeye Sign with the reverse Popeye Sign.
Check out the Stat Pearls Page - Hsu D, Anand P, Mabrouk A, et al. Biceps Tendon Rupture. [Updated 2023 Jul 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.
Check out the OrthoBullets Page on distal ruptures.
Get Bootcamp tickets here - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/
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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 | |||
| Urgent Bite 241 - Reye Syndrome | 13 Dec 2024 | 00:06:53 | |
We should be familiar with Reye Syndrome and its association with aspirin. Check out the Stat Pearls page Chapman J, Arnold JK. Reye Syndrome. [Updated 2023 Jul 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526101/
Check out the original Reye paper REYE RD, MORGAN G, BARAL J. ENCEPHALOPATHY AND FATTY DEGENERATION OF THE VISCERA. A DISEASE ENTITY IN CHILDHOOD. Lancet. 1963 Oct 12;2(7311):749-52. doi: 10.1016/s0140-6736(63)90554-3. PMID: 14055046.
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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 | |||
| Talking the STUMBL Score with Dr David Sorrell | 09 Aug 2024 | 00:23:06 | |
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/
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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 | |||
| Urgent Bite 225 - Anticholinergics in the elderly | 02 Aug 2024 | 00:07:24 | |
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/
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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 | |||
| Urgent Bite 224 - Walking on your ankle injury | 26 Jul 2024 | 00:09:27 | |
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.
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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 | |||
| Urgent Bite 223 - Using smell to diagnose | 19 Jul 2024 | 00:08:53 | |
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
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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 | |||
| Urgent Bite 222 - Antihistamines use in eczema | 12 Jul 2024 | 00:06:23 | |
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.
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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 | |||
| Urgent Bite 221 - Overseas medication | 05 Jul 2024 | 00:04:30 | |
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
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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 | |||
| Urgent Bite 220 - Helping in an emergency | 28 Jun 2024 | 00:06:29 | |
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.
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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
| |||
| Urgent Bite 219 - Music to help you focus, sleep and relax | 21 Jun 2024 | 00:08:53 | |
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.
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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 | |||
| Urgent Bite 218 - Thinking about cold and flu remedies | 14 Jun 2024 | 00:08:19 | |
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.
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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 | |||
| Dr Tony Smith talks Double Sequential and Vector Change Defibrillation for resistant VF/VT | 07 Jun 2024 | 00:30:16 | |
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.
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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 | |||
| Urgent Bite 240 - The Epitrochlear Lymph Node | 06 Dec 2024 | 00:09:23 | |
Do you palpate for the epitrochlear lymph node?
Check out the papers mentioned Selby CD, Marcus HS, Toghill PJ. Enlarged epitrochlear lymph nodes: an old physical sign revisited. J R Coll Physicians Lond. 1992 Apr;26(2):159-61. PMID: 1588523; PMCID: PMC5375540. https://pmc.ncbi.nlm.nih.gov/articles/PMC5375540/
Catalano O, Nunziata A, Saturnino PP, Siani A. Epitrochlear lymph nodes: Anatomy, clinical aspects, and sonography features. Pictorial essay(). J Ultrasound. 2010 Dec;13(4):168-74. doi: 10.1016/j.jus.2010.10.010. Epub 2010 Nov 18. PMID: 23397026; PMCID: PMC3553226. https://pmc.ncbi.nlm.nih.gov/articles/PMC3553226/
Pannu AK, Prakash G, Jandial A, Kopp CR, Kumari S. Epitrochlear lymphadenopathy. Korean J Intern Med. 2019 Nov;34(6):1396. doi: 10.3904/kjim.2018.218. Epub 2018 Dec 6. PMID: 30514055; PMCID: PMC6823563. https://pmc.ncbi.nlm.nih.gov/articles/PMC6823563/
Freeman AM, Matto P. Lymphadenopathy. [Updated 2023 Feb 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513250/
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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 | |||
| Prof. Bruce Arroll talks anxiety, asthma, breathing techniques and the polyvagal theory | 31 May 2024 | 00:35:44 | |
Professor Bruce Arroll talks to us about a practical technique that can help regulate breathing in people having panic attacks or during an asthma attack. The conversation then leads into discussing the Polyvagal Theory, physician wellness, and chronic pain.
Check out the Goodfellow unit resources. The Beginners Guide to the Polyvagal Theory
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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 | |||
| Urgent Bite 217 - The ASIS avulsion | 24 May 2024 | 00:06:04 | |
Remember to consider an ASIS avulsion in young athletes who experience pain and a pop around their hip when sprinting.
Check out the Orthobullets page https://www.orthobullets.com/knee-and-sports/3091/anterior-superior-iliac-spine-asis-avulsion
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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 | |||
| Urgent Bite 216 - The Carpal Boss | 17 May 2024 | 00:06:24 | |
A differential to consider when examining a dorsal wrist swelling.
Check out the Radiopaedia pages
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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 | |||
| Urgent Bite 215 - The World's Strongest CPD | 10 May 2024 | 00:13:46 | |
Much like going to the gym, CPD can be a hassle or an imposition, but it can also be fun and hugely rewarding.
Check out the paper mentioned Jeong D, Presseau J, ElChamaa R, Naumann DN, Mascaro C, Luconi F, Smith KM, Kitto S. Barriers and Facilitators to Self-Directed Learning in Continuing Professional Development for Physicians in Canada: A Scoping Review. Acad Med. 2018 Aug;93(8):1245-1254. https://pubmed.ncbi.nlm.nih.gov/29642101/
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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 | |||
| Urgent Bite 214 - Are Borborygmi useful? | 03 May 2024 | 00:11:53 | |
Should we be listening for bowel sounds? Despite evidence suggesting they are not useful, I still think it is an important part of an urgent care assessment.
Check out the papers mentioned. Elhardello O, Macfie J. Bowel Sounds: Is it Time for Surgeons to Hang-up their Stethoscopes?. World J Surg Surgical Res. 2018; 1: 1066. Link to paper.
Breum BM, Rud B, Kirkegaard T, Nordentoft T. Accuracy of abdominal auscultation for bowel obstruction. World J Gastroenterol. 2015 Sep 14;21(34):10018-24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566372/
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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 | |||
| Urgent Bite 213 - Differentials and the importance of the referral letter | 26 Apr 2024 | 00:12:15 | |
What impact do your acute referral letters have on the admitting team? You may have noticed the initial upload contained the wrong audio file of an old podcast. Sorry, this has been corrected.
Check out the papers mentioned Chauveau P, Mazet-Guillaume B, Baron C, Roy PM, Tanguy M, Fanello S. Impact du contenu du courrier médical sur la qualité du triage initial des patients adultes admis aux urgences [Impact of the referral letter on triage decisions in adult patients admitted to the emergency department]. Sante Publique. 2013 Jul-Aug;25(4):441-51. French. https://pubmed.ncbi.nlm.nih.gov/24404726/
van den Berge K, Mamede S, van Gog T, Romijn JA, van Guldener C, van Saase JL, Rikers RM. Accepting diagnostic suggestions by residents: a potential cause of diagnostic error in medicine. Teach Learn Med. 2012;24(2):149-54. https://pubmed.ncbi.nlm.nih.gov/22490096/
Staal J, Speelman M, Brand R, Alsma J, Zwaan L. Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. BMC Med Educ. 2022 Apr 8;22(1):256 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991944/
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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 | |||
| Urgent Bite 212 - The Cozen Phenomenon | 19 Apr 2024 | 00:08:01 | |
We must be aware of the possibility of Cozen's phenomenon in urgent care.
Check out the Radiopedia page by Tim Luijkx https://radiopaedia.org/articles/cozen-fracture-1
Check out the Orthobullets page by Macknett MD et al https://www.orthobullets.com/pediatrics/4025/proximal-tibia-metaphyseal-fractures--pediatric
Check out the obituary of Dr Lewis Cozen.
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| Thinking about Chopart injuries - with Dr Antonio Castro | 12 Apr 2024 | 00:16:16 | |
Today we hear of a case of Chopart injury presenting through urgent care. Thanks to Dr Antonio Castro.
Check out the paper mentioned Metcalfe TSN, Aamir J, Mason LW. Chopart dislocations: a review of diagnosis, treatment and outcomes. Arch Orthop Trauma Surg. 2024 Jan;144(1):131-147. doi: 10.1007/s00402-023-05040-4. Epub 2023 Sep 15. PMID: 37715068; PMCID: PMC10774188.
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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 | |||
| Catching up with Dr Tamsin Lillie | 05 Apr 2024 | 00:19:28 | |
2 years ago we spoke with Dr Tamsin Lillie, a Fellow of the RNZCUC who runs a medical charity that helps fund African students through medical training. Last time we spoke she was calling in from Malawi, but a chance meeting in person prompted a quick catch-up about what has been going on over the last 2 years and her hopes for the charity moving forward.
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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 | |||
| Urgent Bite 211 - Thinking about medication history taking | 28 Mar 2024 | 00:07:39 | |
Some common, non-psychotropic medications can have psychiatric side effects.
Check out the article mentioned Prescriber Update 45(1): 5-8 March 2024 https://www.medsafe.govt.nz/profs/PUArticles/March2024/Unexplained-mood-and-behavioural-changes.html
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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 | |||
| Urgent Bite 239 - The Examination Ritual | 29 Nov 2024 | 00:11:02 | |
An interesting and thought-provoking TED talk that argues for the need for clinicians to continue to examine patients thoroughly.
Check out Dr Verghese's TED talk here.
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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 | |||
| Urgent Bite 210 - Hoffmann's Sign | 22 Mar 2024 | 00:10:50 | |
Hoffmann's sign is a simple test that can help in diagnosing cervical myelopathy and upper motor neurone disease as part of a thorough history and examination.
Check out the paper mentioned Nemani VM, Kim HJ, Piyaskulkaew C, Nguyen JT, Riew KD. Correlation of cord signal change with physical examination findings in patients with cervical myelopathy. Spine (Phila Pa 1976). 2015 Jan 1;40(1):6-10. doi: 10.1097/BRS.0000000000000659. PMID: 25341986. https://pubmed.ncbi.nlm.nih.gov/25341986/
Check out the Stat Pearls page. Whitney E, Munakomi S. Hoffmann Sign. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545156/
2 videos from Ortho Eval Pal with Paul Marquis on YouTube that show the sign. https://www.youtube.com/watch?v=blj6Y0rrmtw https://www.youtube.com/watch?v=GJ-Q2ibYAHs
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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 | |||
| Wellens' Syndrome - with Dr Ivan Koay and Dr Yoosuf | 15 Mar 2024 | 00:31:52 | |
Wellens' Syndrome is an ECG finding indicative of critical LAD stenosis. Recognising this ECG change is vital.
Check out the Life in the Fast Lane post by Dr Mike Cadogan and Dr Robert Buttner from September 2021 https://litfl.com/wellens-syndrome-ecg-library/
This is a BMJ case report that is worth reading. Ramires TG, Sant'Anna J, Pais J, Picarra BC. Wellens' syndrome: a pattern to remember. BMJ Case Rep. 2018 Apr 10;2018:bcr2018224582. doi: 10.1136/bcr-2018-224582. PMID: 29636339; PMCID: PMC5893974. https://casereports.bmj.com/content/2018/bcr-2018-224582
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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 | |||
| Urgent Bite 209 - Abnormal Uterine Bleeding when commencing anticoagulation | 08 Mar 2024 | 00:06:44 | |
We must counsel about the possibility of abnormal uterine bleeding starting, or worsening when commencing oral anticoagulation. Check out the Prescriber update - December 2023 edition - https://www.medsafe.govt.nz/profs/PUArticles/PDF/Prescriber-Update-44-No.4-December-2023.pdf
Check out the paper mentioned de Jong CMM, Blondon M, Ay C, Buchmuller A, Beyer-Westendorf J, Biechele J, Bertoletti L, Colombo G, Donadini MP, Hendriks SV, Jara-Palomares L, Nopp S, Ruiz-Artacho P, Stephan P, Tromeur C, Vanassche T, Westerweel PE, Klok FA. Incidence and impact of anticoagulation-associated abnormal menstrual bleeding in women after venous thromboembolism. Blood. 2022 Oct 20;140(16):1764-1773. doi: 10.1182/blood.2022017101. PMID: 35925686. https://pubmed.ncbi.nlm.nih.gov/35925686/
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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 | |||
| Urgent Bite 208 - Poland Syndrome | 01 Mar 2024 | 00:09:45 | |
An interesting eponymous syndrome with a Kiwi connection.
Check out the Stat Pearls Page Tafti D, Cecava ND. Poland Syndrome. [Updated 2023 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532259/ https://www.ncbi.nlm.nih.gov/books/NBK532259/
Read more about Patrick Clarkson, MBE, FRCS - https://en.wikipedia.org/wiki/Patrick_Clarkson Read more about Jeremy Beadle, MBE - https://en.wikipedia.org/wiki/Jeremy_Beadle
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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 | |||
| Urgent Bite 207 - Dunbar Syndrome | 23 Feb 2024 | 00:10:10 | |
In cases of ongoing post-prandial epigastric pain and sitophobia despite endoscopy work up and treatment perhaps we should remember to recall Dunbar Syndrome to our differential list.
Check out the paper mentioned Li J, Tan XY, Megahed A, Evangelista A. Dunbar syndrome: An unusual cause of chronic postprandial abdominal pain. Radiol Case Rep. 2020 Aug 2;15(10):1747-1749. doi: 10.1016/j.radcr.2020.07.016. PMID: 32774573; PMCID: PMC7397697. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7397697/ Check out the Radiopedia page Gaillard F, Moore C, Glick Y, et al. Celiac artery compression syndrome. Reference article, Radiopaedia.org (Accessed on 22 Feb 2024) https://doi.org/10.53347/rID-1143
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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 | |||
| Urgent Bite 206 - Grover Disease | 16 Feb 2024 | 00:08:13 | |
Grover disease might present through your urgent care. While not a critical or life-threatening condition, recognising it so we can advise and support your patient is important. To help us consider differentials for various presenting complaints there is a useful website you can use.
Check out the Cunneliffe (TP) General Dermatology Diagnostic Tool - https://www.pcds.org.uk/general-dermatology-table
Check out the Dermnet page on Grover disease - authored by Prof Amanda Oakley and Dr Ian Coulson- https://dermnetnz.org/topics/transient-acantholytic-dermatosis
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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 | |||
| Urgent Bite 205 - The Böhler angle and angle of Gissane | 09 Feb 2024 | 00:10:36 | |
When considering calcaneal fractures we must remember the Böhler angle and the angle of Gissane.
Check out the Orthobullets page written by Crag Forsthoefel MD. https://www.orthobullets.com/trauma/1051/calcaneus-fractures
Check out the Radiopaedia articles Benoudina S, Worsley C, Knipe H, et al. Gissane angle. Reference article, Radiopaedia.org (Accessed on 08 Feb 2024) https://doi.org/10.53347/rID-40094 Amini B, Worsley C, Weerakkody Y, et al. Böhler angle. Reference article, Radiopaedia.org (Accessed on 08 Feb 2024) https://doi.org/10.53347/rID-1002
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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 | |||
| The Corona Mortis - with Dr Tim Brabants | 01 Feb 2024 | 00:14:07 | |
Do you know about the Corona Mortis? Today with chat to Dr Tim Brabants who has seen a case and feels we should be aware of its potential in urgent care. Tim is a UK-trained doctor who has worked in the UK and South Africa, predominantly in emergency medicine. Now based in New Zealand, he is a senior Registrar with the RNZCUC
Check out these resources on the Corona Mortis. Radiopaedia - Hsu C, Ismail M, Furaiji H, et al. Corona mortis. Reference article, Radiopaedia.org (Accessed on 30 Jan 2024) https://doi.org/10.53347/rID-39319 https://radiopaedia.org/articles/39319
Garrido-Gómez J, Pena-Rodríguez C, Martín-Noguerol T, Hernández-Cortes P. Corona mortis artery avulsion due to a stable pubic ramus fracture. Orthopedics. 2012 Jan 16;35(1):e80-2. doi: 10.3928/01477447-20111122-25. PMID: 22229619. https://pubmed.ncbi.nlm.nih.gov/22229619/
Sealy EB, Schammel CM, Varma R, Devane AM. Corona mortis in the setting of pelvic trauma: Case series and review of the literature. Am J Interv Radiol 2023;7:9. https://americanjir.com/corona-mortis-in-the-setting-of-pelvic-trauma-case-series-and-review-of-the-literature/
Cardoso GI, Chinelatto LA, Hojaij F, Akamatsu FE, Jacomo AL. Corona Mortis: A Systematic Review of Literature. Clinics (Sao Paulo). 2021 Apr 16;76:e2182. doi: 10.6061/clinics/2021/e2182. PMID: 33886786; PMCID: PMC8024925. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024925/
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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 | |||
| Urgent Bite 204 - Thinking about caffeine withdrawal | 26 Jan 2024 | 00:07:39 | |
Could caffeine withdrawal result in an urgent care visit?
Check out the paper mentioned Sajadi-Ernazarova KR, Anderson J, Dhakal A, et al. Caffeine Withdrawal. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430790/ https://www.ncbi.nlm.nih.gov/books/NBK430790/#article-18757.s2
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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 | |||
| Urgent Bite 203 -The Hoagland Sign | 19 Jan 2024 | 00:11:22 | |
An eponymous sign that helps in the diagnosis of glandular fever.
Check out the paper mentioned. Otsuki T, Ishizuka K, Hirose M, Ie K. Hoagland sign in infectious mononucleosis. BMJ Case Rep. 2022 Nov 16;15(11):e252839. https://pubmed.ncbi.nlm.nih.gov/36384885/
Check out the obituary of Colonel Robert. J. Hoagland MD - https://courierpostonline.newspapers.com/article/the-charlotte-observer-robert-j-hoagland/82137229/
Check out the Patient.info page on glandular fever, written by Dr Colin Tidy - https://patient.info/ears-nose-throat-mouth/sore-throat-2/glandular-fever-infectious-mononucleosis
Check out the book review of Hoagland's book. Moser RH. Infectious Mononucleosis. Arch Intern Med. 1968;121(6):572. doi:10.1001/archinte.1968.03640060086018
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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 | |||
| Urgent Bite 238 - Possible Assistance Needed | 22 Nov 2024 | 00:08:29 | |
Do you have a way to quickly and succinctly indicate that there is a possible patient of clinical concern within your clinic?
Read about Pan-pan on Wikipedia.
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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 | |||
| Urgent Bite 202 - Thinking about Neuroendocrine Tumours | 12 Jan 2024 | 00:12:48 | |
This week, the world's best snooker players are competing for the Paul Hunter Trophy at the Masters in London. Paul sadly died of neuroendocrine tumours in 2006 whilst in his snooker prime.
Check out the paper mentioned Ahmed M. Gastrointestinal neuroendocrine tumors in 2020. World J Gastrointest Oncol. 2020 Aug 15;12(8):791-807. doi: 10.4251/wjgo.v12.i8.791. PMID: 32879660; PMCID: PMC7443843. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443843/
Check out this blog page detailing Paul Hunter's diagnosis. This is from the Ronny Allan blog, someone also diagnosed with neuroendocrine cancer.
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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 | |||
| Urgent Bite 201 - Thinking about referrals from UC | 05 Jan 2024 | 00:10:36 | |
What is your acute referral rate from UC to secondary care?
Check out the paper mentioned. Blinkenberg J, Hetlevik Ø, Sandvik H, Baste V, Hunskaar S. The impact of variation in out-of-hours doctors' referral practices: a Norwegian registry-based observational study. Fam Pract. 2023 Dec 22;40(5-6):728-736. https://pubmed.ncbi.nlm.nih.gov/36801994/
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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 | |||
| Thinking about Jean Batten and Empyema | 29 Dec 2023 | 00:10:42 | |
Jean Batten was a New Zealand pioneering aviatrix who died of empyema.
Check out Jean Batten's history. From the NZ History website - https://nzhistory.govt.nz/people/jean-batten From Te Ara, the Encyclopedia of New Zealand - https://teara.govt.nz/en/biographies/4b13/batten-jean-gardner From Wikipedia - https://en.wikipedia.org/wiki/Jean_Batten#
Check out the paper mentioned - Dyrhovden R, Nygaard RM, Patel R, Ulvestad E, Kommedal Ø. The bacterial aetiology of pleural empyema. A descriptive and comparative metagenomic study. Clin Microbiol Infect. 2019 Aug;25(8):981-986. https://pubmed.ncbi.nlm.nih.gov/30580031/ Check out the Stat Pearls page - Garvia V, Paul M. Empyema. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459237/
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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 | |||
| A Bite of Christmas - The Ice Cream Headache | 22 Dec 2023 | 00:04:38 | |
You might encounter an Ice Cream Headache over Christmas.
Check out the International Classification of Headaches - Third Edition) Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013 Jul;33(9):629-808. doi: 10.1177/0333102413485658. PMID: 23771276. https://pubmed.ncbi.nlm.nih.gov/23771276/
Check out the paper mentioned Özyürek H, Koray Bayrak I, Yayici Köken Ö. Ice Cream Headache: Cerebral Blood Flow Evaluation. Turk Arch Pediatr. 2021 Jul 1;56(4):405-406. doi: 10.5152/TurkArchPediatr.2021.20247. PMID: 35005742; PMCID: PMC8655974. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8655974/
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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 | |||