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Communication and history taking. It is sometimes important to go back to basics. For me it is 29 years since I learnt to take a history. Do you remember when as a student you took a history and the registrar or consultant walked in and got a better history in 10 seconds?
Finally something you can get your teeth into. Tongue laceration. They are a very common paediatric presentation. Almost always they are managed conservatively and allowed to heal by secondary intention. If you are considering suturing you are in for a challenging time. Thus it is not likley you will be able to suture a tongue…
Imaging chests in children. Is this a routine test to order. i think not. Here is a discussion about imaging studies in children. Personally I don’t usually order a CXR unless I am looking for a coin or to exclude a battery. https://gppaedstips.blogspot.com/2019/06/chest-x-rays-in-children-wimbledon-rules.htmlChest X-rays in children – The Wimbledon RulesA combination of commentary and clinical…
Thank you for all Fellows and registrars who participated in the RNZCUC Recertification Survey. Your experiences, ideas and suggestions have given the College a new insight into what our new programme should be. We will now consolidate all your suggestions and work closely with the Medical Council to develop a new strengthened approach to recertification.…
Every clinic has certain unavoidable obstacles and workplace stress and burnout is seen frequently amongst Urgent Care staff. Are the things bothering you unchangeable? If they are too overwhelming, perhaps it is time to change jobs”
Ordering an ECG for your patient with syncope? In Urgent Care, we really don’t have the time to fluff around and especially not so when your waiting room is overflowing with winter ailments. Check out this excellent 3 min approach to identifying ECG red flags in your patient with a fainting spell. Want to learn…
Cspine is a pain in the neck. So here is a full on teaching blog with everything you need to Know. The ABC’s of the cervical spine provide a helpful mnemonic to guide the systematic assessment of these x-rays. Remember; you require all three views (later ….
We all do nerve blocks. Some more than others. Here are some hints. It is more ED based but a block is a block is a block.
Reserach roundup for May, yep I know it’s June. What is good here. Beer vs wine and chin laceration glue vs suture. All the important research.