The Podcasts of the Royal New Zealand College of Urgent Care

If we suspect a subcutaneous foreign body, we need to know where it is, what it is and how long it has been there.  This requires a good history, a thorough examination and appropriate imaging.  With this information, we can plan the best way to remove, which might involve referral.     Check out the paper mentioned from the American Family Physician Chan C, Salam GA. Splinter removal. Am Fam Physician. 2003 Jun 15;67(12):2557-62. PMID: 12825845.    Retained foot FB paper mentioned Chandrashekara CM, George MA, Al-Marboi BS. Neglected Foreign Body, the Cause of Navicular Osteomyelitis in A Paediatric Foot: A Case Report. J Orthop Case Rep. 2013 Jul-Sep;3(3):26-9. doi: 10.13107/jocr.2250-0685.111. PMID: 27298914; PMCID: PMC4719251.    Retained FB in groin paper mentioned Yhoshu E, Chaudhary G, Gupta MK. Retained wooden foreign body in groin in a child: A case report and review of literature. Afr J Paediatr Surg. 2020 Jul-Dec;17(3 & 4):127-130. doi: 10.4103/ajps.AJPS_22_20. PMID: 33342850; PMCID: PMC8051621.   Case of penile FB paper mentioned Kaneko T, Sakamoto A, Yoshida T, Yanagida K, Yoshimura I, Hagiwara K, Kimura M, Yamada Y, Nakagawa T. Penetrating penile injury due to the splintering of the floorboards in the gymnasium. IJU Case Rep. 2021 May 4;4(4):221-223. doi: 10.1002/iju5.12290. PMID: 34258532; PMCID: PMC8255285.   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

The hook of hamate fracture is often a delayed diagnosis.  There are certain mechanism of injuries, usually sporting related, that should make us be more aware of this injury.   The pull test may also help you consider this diagnosis.   Wright TW, Moser MW, Sahajpal DT. Hook of hamate pull test. J Hand Surg Am. 2010 Nov;35(11):1887-9. doi: 10.1016/j.jhsa.2010.08.024. Epub 2010 Oct 20. PMID: 20961698.    Check out the OrthoBullets Page on Hoof of Hamate Fractures by Dr Sharareh 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 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

Pompholyx, also known as dyshidrotic eczema, is a condition that might present through urgent care. Check out the Dermnet NZ page by Maitreyi Jain and Hon Associate Professor Paul Jarrett   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

New national antibiotic guidelines have been launched in New Zealand to help guide our prescribing and improve antibiotic stewardship.  Check out the guidelines - https://tewhatakura.nz/   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

Dr Emily Amos is a GP who founded Whole Hearted Medicine following an episode of career burnout.  This company provides CPD retreats with a focus on wellbeing education.   This has been endorsed as a CPD activity for RNZCUC members.     Check out what Whole Hearted Medicine has to offer   Check out the CPD retreats   Read about some of the evidence related to this area   Connect with Emily on LinkedIn   Check out Emily's personal website   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

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 will incorporate a Research Network meeting - https://rnzcuc.org.nz/bootcamp-and-fellowship-ceremony-2026/    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

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: 33328801; PMCID: PMC7706754. Link Beer HL, Duvvi S, Webb CJ, Tandon S. Blood loss estimation in epistaxis scenarios. J Laryngol Otol. 2005 Jan;119(1):16-8. doi: 10.1258/0022215053222752. PMID: 15807956. Link Grigg, Sarah, Maunder, John, Betz-Stablein, Brigid, Llewellyn, Stacey, 2020, Reliability of estimating blood loss in epistaxis, Australian Journal of Otolaryngology; Vol 3 (May 2020): Australian Journal of Otolaryngology, 2020 Link     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

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/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

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   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

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 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 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 www.premiumbeat.com Full Grip by Score Squad 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

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 freesound_community - 46691455 Metro Train Arrival Ambience in Train Platform tube train pull away   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

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.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

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 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 

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 Communication With Specialists in the Referral System: A Systematic Review and Meta-Synthesis. Health Sci Rep. 2025 May 22;8(5):e70785. doi: 10.1002/hsr2.70785. PMID: 40415981; PMCID: PMC12098960.       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 

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, Gantner D, Jaison A, Matthew J, Fitzgerald MC, Rosenfeld JV, Hunn MK, Tee JW. Prognosis of Acute Subdural Hematoma in the Elderly: A Systematic Review. J Neurotrauma. 2019 Feb 15;36(4):517-522. doi: 10.1089/neu.2018.5829. Epub 2018 Aug 14. PMID: 29943683. Link Manivannan S, Spencer R, Marei O, Mayo I, Elalfy O, Martin J, Zaben M. Acute subdural haematoma in the elderly: to operate or not to operate? A systematic review and meta-analysis of outcomes following surgery. BMJ Open. 2021 Dec 3;11(12):e050786. doi: 10.1136/bmjopen-2021-050786. PMID: 34862284; PMCID: PMC8647543. Link  Kuhn EN, Erwood MS, Oster RA, Davis MC, Zeiger HE, Pittman BC, Fisher WS 3rd. Outcomes of Subdural Hematoma in the Elderly with a History of Minor or No Previous Trauma. World Neurosurg. 2018 Nov;119:e374-e382. doi: 10.1016/j.wneu.2018.07.168. Epub 2018 Jul 30. PMID: 30071339. Link MdCalc Canadian CT Head tool   BBC Article about Dame Jilly Cooper   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 

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: PMC7146523.   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 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 Dec 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.  Check out the Radiopaedia page by  Alejandro Planas Callao   Check out the paper mentioned Raman Bhakhri and Nicole Landry.  Commitio Retinae: A teaching Case Report. Optometric Education: Volume 48 Number 2 (Winter-Spring 2023)     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 

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 S, Shariff S, Fornari Caprara AL. Pisa Syndrome Secondary to Drugs: A Scope Review. Geriatrics (Basel). 2024 Jul 30;9(4):100. doi: 10.3390/geriatrics9040100. PMID: 39195130; PMCID: PMC11353465.   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 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/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