Choosing Wisely Means Choosing Equity 2020
The report Choosing Wisely means Choosing Equity recommends a number of changes to make the Choosing Wisely campaign more effective for Māori.
Urgent Bite 73 – Reclassification of codeine-containing products
On November 5th 2020, all codeine-containing products in New Zealand will require a prescription.
Clinical Educator in Urgent Care – with Dr Dinesh Deonarain
We talk with Dr Dinesh Deonarain about a new and innovative role he has just started. He explains how the job was created and how it should lead to an improvement in the delivery of Urgent Care.
Plastics quiz
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Urgent Bite 72 – Mulder’s Sign
A useful provocative test when examining a patient with metatarsalgia.
Urgent Bite 71 – The Bullet Journal
If you are looking for an analogue way to keep track of your life tasks, it is worth having a look at the Bullet Journal method.
MCNZ Cultural safety report
The Medical Council of New Zealand, in partnership with Te Ohu Rata O Aotearoa (Te ORA), has recently released an independent report outlining findings of the current state of cultural safety and health equity delivered by doctors practising in Aotearoa New Zealand and experienced by patients and whānau.
Paracetamol toxicity
Paracetamol is in the news again. There is a question of limiting paracetamol sales. So let us review the treatment of paracetamol ingestion. Technically it is easy to manage if you know the exact dose and time of ingestion. Kids are a little different and you have to estimate maximum possible ingestion. Beware of delayed presentation, beware of multiple ingestions. Blood tests are important if you are not sure. the cost of getting this wrong is literally life and death. Community management can be challenging is you need blood tests to confirm lack of toxicity. Easy in the ED. Should we limit the size of paracetamol sales to below 10gm? What do you think?
Adolescent and Adult Asthma Guidelines NZ – with Dr James Fingleton
Asthma is a common presentation to Urgent Care. How do the new adolescent and adult guidelines for NZ affect our management in Urgent Care? We speak with one of the guideline authors, Dr James Fingleton.
The Lung Is Up Where It Belongs – With Or Without A Chest Tube
Conservative management of spontaneous pneumothorax. We talked about this in April with first10em. Now a review by the sceptics. This is a 25 minute podcast talking about all the ins and outs of this. Conservative management without chest tube MAY be appropriate but only if close follow up can be arranged. You may want to consider it but all the careful follow up steps must be followed.