The Podcasts of the Royal New Zealand College of Urgent Care RNZCUC

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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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 

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. 
 
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 
 

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.
 
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 

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. 
 www.medictomedic.org.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 

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
 
 
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 

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
 
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