The Podcasts of the Royal New Zealand College of Urgent Care

There are a number of ways you can "crack" a joint.  Some are relevant to urgent care, and some are just interesting.     Check out the paper mentioned Unger DL. Does knuckle cracking lead to arthritis of the fingers? Arthritis Rheum. 1998 May;41(5):949-50. doi: 10.1002/1529-0131(199805)41:5<949::AID-ART36>3.0.CO;2-3. PMID: 9588755. https://pubmed.ncbi.nlm.nih.gov/9588755/ Rizvi A, Loukas M, Oskouian RJ, Tubbs RS. Let's get a hand on this: Review of the clinical anatomy of "knuckle cracking". Clin Anat. 2018 Sep;31(6):942-945. doi: 10.1002/ca.23243. Epub 2018 Oct 18. PMID: 30080300. https://pubmed.ncbi.nlm.nih.gov/30080300/  Deweber K, Olszewski M, Ortolano R. Knuckle cracking and hand osteoarthritis. J Am Board Fam Med. 2011 Mar-Apr;24(2):169-74. doi: 10.3122/jabfm.2011.02.100156. PMID: 21383216. https://pubmed.ncbi.nlm.nih.gov/21383216/        www.rnzcuc.org.nz [email protected] 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

In this first episode of Busting Myths with Laura and Dinesh, Dr Laura Hamill and Dr Dinesh Deonarain consider whether spider bites always require antibiotics and the evidence around the need to split plaster casts.   Check out the papers Laura and Dinesh recommend you read.   Isbister GK, Gray MR. White-tail spider bite: a prospective study of 130 definite bites by Lampona species. Med J Aust. 2003 Aug 18;179(4):199-202. doi: 10.5694/j.1326-5377.2003.tb05499.x. PMID: 12914510. Link to paper   Zaino CJ, Patel MR, Arief MS, Pivec R. The effectiveness of bivalving, cast spreading, and webril cutting to reduce cast pressure in a fiberglass short arm cast. J Bone Joint Surg Am. 2015 Mar 4;97(5):374-80. doi: 10.2106/JBJS.N.00579. PMID: 25740027. Abstract   Barvelink B, Reijman M, Smidt S, Miranda Afonso P, Verhaar JAN, Colaris JW; CAST study group; CAST study group; van Beek F, Bouwhuis MG, Bruijninckx MMM, Greeven APA, Gosens T, Kok MJ, Kokke MC, Kraan GA, van Lakwijk K, Leijnen M, van Loon M, van Rijssel DA, Schep NWL, Scholtens L, Wijffels MME, Slebioda N, van der Zwaal P, Zwets E. Redisplacement of reduced distal radius fractures in adults: does the type of casting play a role? The CAST study, a multicentre cluster randomized controlled trial. Bone Joint J. 2024 Jul 1;106-B(7):696-704. doi: 10.1302/0301-620X.106B7.BJJ-2024-0014.R1. Erratum in: Bone Joint J. 2024 Sep 1;106-B(9):1032. doi: 10.1302/0301-620X.106B9.BJJ-2024-00050. PMID: 38945541. Abstract   Wik TS, Aurstad AT, Finsen V. Colles' fracture: dorsal splint or complete cast during the first 10 days? Injury. 2009 Apr;40(4):400-4. doi: 10.1016/j.injury.2008.08.044. Epub 2009 Feb 4. PMID: 19195651. Abstract   Bullen M, Kinealy J, Blanchard R, Rodda C, Pivonka P. Comparison of the moulding ability of Plaster of Paris and polyester cast material in the healthy adult forearm. Injury. 2017 Nov;48(11):2586-2589. doi: 10.1016/j.injury.2017.08.010. Epub 2017 Aug 16. PMID: 28870625. Abstract   If you have any comments or suggestions of myths for their future consideration, email [email protected] Always follow your local guidelines and policies.  These discussions are designed to encourage you to engage with the literature.     www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music by Karl Casey @White Bat Audio. Second Life from the Album White Bat 48 - available at Bandcamp   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

There are important ocular side effects related to medications used to treat ADHD.   Check out the Prescriber Update for September 2026 Check out the Stuff article mentioned   www.rnzcuc.org.nz [email protected] 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

Hand foot and mouth disease is a common viral illness that almost always affects children under 5.   But, as the world's number one golfer shows, healthy adults can contract it, so do not discount it as a possible diagnosis, if the story fits.     Check out the Dermnet NZ page by Leong and Mahon   Read about Scotty Scheffler's HFMD experience.   Check out the paper mentioned Blanco-Alonso S, Mellor-Pita S, Alfageme F, Najera Botella L, Duran-Campo P, Tutor-Ureta P. Temporal Arteritis in a Young Patient. A Clinical Case. Reumatol Clin (Engl Ed). 2021 May;17(5):297-299. English, Spanish. doi: 10.1016/j.reuma.2020.04.010. Epub 2020 May 29. PMID: 32475766.   www.rnzcuc.org.nz [email protected] 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

Smith's fracture of the wrist is the opposite of a Colles fracture and is an important fracture to identify in urgent care.   Smith was a successor to Colles, and disagreed with Colles' definition of the Colles fracture.  This offers an opportunity to reflect on the way we use opinions in medical practice, how opinions may vary and must be open to change.     Check out the Radiopaedia page Gaillard F, Stanislavsky A, Smith fracture. Reference article, Radiopaedia.org    If you would like to read Smith's original treatise on fractures, you can find it at this link.   Read from page 130 for the discussions around Colles, and from page 160 for the description of Smith's fracture   www.rnzcuc.org.nz [email protected] 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