For Christmas this year we have a short series of Urgent Care discussions inspired by some classic Christmas films. First up, the Snowman (1982). We talk with Dr David Sorrell about Christmas in urgent care and managing exhaust burns.
Author: Dr Gary Mitchell
Type: MLP-research
Date: December 2021
Abstract:
Rivaroxaban is well established as a treatment for deep vein thrombosis and pulmonary embolism, but there has been hesitation in using it as a bridging agent in clinical situations where DVT is suspected but not yet confirmed by definitive ultrasound scan. The evidence for the safety and efficacy of this approach is explored. During this time of research, the use of rivaroxaban began to gain acceptance and usage in New Zealand, leading to a brief analysis of factors involved in trying to introduce up to date guidelines into a small health organisation in New Zealand prior to widespread acceptance and definitive guidelines at District Health Board level.
Author: Dr Sandy Crofts
Type: MLP-research
Date: December 2021
Abstract:
Cannabinoid Hyperemesis Syndrome (CHS) is a syndrome of intractable vomiting with severe abdominal pain that is associated with chronic marijuana use. Classically, symptoms are relieved by hot showers and are often unresponsive to traditional acute interventions such as antiemetics.
Patients commonly undergo multiple investigations without diagnosis. Complete resolution of symptoms occurs with abstinence from cannabis. The following Medical Literature Project gives an overview of Cannabinoid Hyperemesis Syndrome and review of current management.
Author: Dr Imran Zia
Type: MLP-research
Date: December 2021
Abstract: A literature review was carried out to assess the safety of Adenosine in Urgent Care (UC) setting for the termination of Paroxysmal Supraventricular tachycardia (PSVT). Thorough literature evaluation advocates the use of adenosine for the acute termination of PSVT in Urgent care settings, especially in rural and remote practices. It has the potential to improve patient management and satisfaction along with a reduction in cost, ED load, and associated hospitalization.
Please complete the following survey for the college which is a follow-on to our “Employment/Remuneration Survey” of the last 2 years with some new questions To complete the survey: Click here. Last year’s was found useful by a number of our members and we would like to repeat this to assist and identify trends. Responses…
Dr Eva Gregory is an Auckland based doctor training in sexual health and general practice. They are a board member for Pride in Health, a charitable trust looking to support health care professionals in NZ to deliver excellent care to LGBTQIA+ patients.
Do you look stuff up during a consultation?
Why is it called the malleolus? It is interesting that what our patients might perceive as complicated medical words are actually just simple descriptive terms coined by ancient anatomists.
Dr Avijit Barai is a FACEM and FRNZCUC who has used POCUS in his daily practice for many years. He talks to us about the way he utilises POCUS and why he thinks it is an essential tool for all Emergency and Urgent Care physicians.