Urgent Bite 118 – Thinking about diagnosing pancreatitis in UC
Does a normal amylase/lipase rule out pancreatitis?
Urgent Bite 117 – BRUE
What is a BRUE?
Christmas in Urgent Care – Part Four – Die Hard – with Dr Zoë Cruse
Our fourth Urgent Care at Christmas discussion is inspired by a film that changed modern action thrillers and bucked the trend of action heroes being muscle-bound giants. Die Hard has long been considered a Christmas classic but the reason it has made our urgent care list is that it shows a common and very painful presentation to urgent care. The glass foreign body in the foot. To talk about the Welsh tradition of Mari Lwyd, singing carols, Alan Rickman and the pain of injecting the sole of the foot we are joined by Dr Zoë Cruse.
Christmas in Urgent Care – Part Three – Iron Man 3 – with Dr Caitlin Randles
Our third Urgent Care at Christmas discussion is inspired by the blockbuster comic book movie, Iron Man 3. While it might not strike you as a classic Christmas movie, it does take place at Christmas and it highlights a condition that often presents to UC, especially over the holidays. To talk about the charm of English pubs, whether Love Actually still holds up and approaching insomnia through Urgent Care we are joined by UC Fellow Dr Caitlin Randles.
Christmas in Urgent Care – Part Two – Elf – with Dr Dinesh Deonarain
Our second Urgent Care at Christmas discussion is inspired by the 2003 modern classic Elf. To talk about a cold versus warm Christmas, demonstrate his Jimmy Stewart impression and discuss Raccoon bites, we are joined by Urgent Care Physician and Wilderness Medicine expert Dr Dinesh Deonarain.
Christmas in Urgent Care – Part One – The Snowman – with Dr David Sorrell
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.
Building Bridges for DVT Diagnosis: Rivaroxaban versus Enoxaparin Guideline Review and Discussion
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.
Cannabinoid Hyperemesis Syndrome
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.
Is Adenosine safe for conversion of SVT in Urgent Care settings?
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.