Urgent Bite 299 – The Kager Fat Pad
The Kager fat pad is seen in lateral radiographs of the ankle, and the loss or alteration of this pad can indicate injury or pathology in that region.
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.
Urgent Bite 297 – The Barton Fracture
The Barton fracture is an eponymous fracture of the distal radius. While perhaps a name less used compared to the Colles, it is still an important injury to recognise and refer to orthopaedics.
Urgent Bite 296 – Maternal Sepsis
There is a webinar coming up on March 25 at 1900 NZDT on the topic of Maternal Sepsis.
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.
DPD update February 2026
This update includes information about a wellness CPD opportunity, a new online Māori Health course and the new National Antibiotic Guidelines. Update – a new College position statement on 12 month prescribing is now approved and will be loaded into TalentLMS (categorised as “policy and position statement”). Whole Hearted Medicine wellness CPD Retreats Continuing Professional…
Urgent Bite 294 – Hook of Hamate fracture
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.
Maternal Sepsis Webinar
On 25 March 2026 at 1900 NZDT, there was a webinar on maternal sepsis A recording of the webinar can be found at this link There was a webinar on March 25 on the topic of Maternal Sepsis that is invaluable for urgent care clinicians. Maternal sepsis can occur during pregnancy, childbirth or the postpartum…
Urgent Bite 293 – Pompholyx
Pompholyx, also known as dyshidrotic eczema, is a condition that might present through urgent care.
HQSC Sepsis resources – updated
The Health Quality Safety Commission has released a Sepsis resources package, available on their website They have updated the community guidelines in January 2026 Check out the HQSC’s new Sepsis resource, which has just launched, or scan the QR code below There are updated pre-hospital community-specific pathways, which can be found at this link Developed…