The Podcasts of the Royal New Zealand College of Urgent Care

RNZCUC

Home of the Official Podcasts of the RNZCUC - these are intended to provide ongoing education for medical professionals and should not be used for self diagnosis. Always consult your regular doctor. Always work within your scope of practice.

  1. Urgent Bite 298 - Martha's Rule

    MAR 13

    Urgent Bite 298 - Martha's Rule

    Martha's Rule is an important new initiative in the NHS England that aims to ensure that patient, family and caregiver concern for deterioration is heard and acted upon.  This is because evidence shows that these groups recognise deterioration earlier, and there are cases, as with Martha Mills, where these concerns are not acted upon quickly enough to prevent harm, or even death.  We should all reflect on Martha's story and Martha's Rule.     Check out details and statistics on Martha's Rule at the NHS Website.   You can find NZ Sepsis pathways at the HQSC  and Sepsis Trust websites below. https://www.hqsc.govt.nz/our-work/improved-service-delivery/sepsis/   https://www.sepsis.org.nz/clinical-tools/   Check out the Paper from The Lancet. Mills E, Lin P, Asghari-Jafarabadi M, West A, Craig S. Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. Lancet Child Adolesc Health. 2025 Jul;9(7):450-458. doi: 10.1016/S2352-4642(25)00098-7. Epub 2025 May 29. PMID: 40451224.     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

    19 min
  2. Urgent Bite 295 - Subcutaneous Foreign Bodies

    FEB 20

    Urgent Bite 295 - Subcutaneous Foreign Bodies

    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

    15 min

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Home of the Official Podcasts of the RNZCUC - these are intended to provide ongoing education for medical professionals and should not be used for self diagnosis. Always consult your regular doctor. Always work within your scope of practice.

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