Original research by College members, and medical literature projects (MLP) completed as part of Fellowship requirements are shared below. Use the search function to find keywords and the filters to review previous MLPs.

This research page is intended to assist in ongoing medical education and peer discussion for qualified health professionals. This is not intended to replace local and national guidelines but published as peer reviewed research to inform and stimulate discussion. Please ensure you work within your scope of practice at all times

Journal of Urgent Care Medicine

Our official journal is the Journal of Urgent Care Medicine, published in the US.

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Management of dog bite wounds in the Urgent Care clinic

Author: Dr Lize Upton
Type: MLP-research
Date: 10 November 2020
Abstract:
Injuries sustained from dog bites are often seen in Urgent Care. This review looks at relevant studies and the current management guidelines for these injuries in relation to wound closure and the use of prophylactic antibiotics.

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Point of Care Ultrasounds in the Diagnosis of Pulled Elbows

Author: Dr Jin Gao
Type: MLP-research
Date: 16 December 2020
Abstract:
The pulled elbow(PE) is a common childhood injury. In most cases, the clinical management is straight forward, however, the diagnosis and management may be difficult if there is an unclear history, an unwitnessed injury or an atypical mechanism of injury. This medical literature project evaluates the effectiveness of point-of-care ultrasound in the diagnosis of PEs.

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The Management of Nausea and Vomiting in Pregnancy

Author: Dr Richard Canning
Type: MLP-research
Date: 11 October 2020
Abstract:
Nausea and Vomiting in Pregnancy (NVP) is a common presentation seen by a wide variety of medical professionals however the evidence around the safety and efficacy of drugs used to treat NVP is often not well understood. This review looks to explore current prescribing practices of drugs used to treat NVP and provide evidence-based recommendations.

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CROUP

Author: Dr Alexander Stapleton
Type: MLP-research
Date: 2 September 2020
Abstract: This literature review was devised to clarify the rationale between the use of Dexamethasone and Prednisolone for the treatment of paediatric Croup in the community setting.

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Guideline for Management of Severe Asymptomatic Hypertension in Urgent Care

Author: Dr Gustav Fourie
Type: MLP-guideline
Date: 26 February 2020
Abstract: Hypertension is a common presentation but there is no New Zealand based guideline for the management of severe asymptomatic hypertension (greater than 180 systolic or 110 diastolic) in urgent care. Definitions have varied in both naming ( hypertensive emergency, hypertensive urgency, hypertensive crisis, malignant hypertension, accelerated hypertension, severe asymptomatic hypertension) and parameters.

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Use of EXOS® Thermoplastic Splint in the treatment of wrist fractures

Author: Dr Ivan Koay
Type: Other research
Date: 23 Jan 2019
Abstract: There has been varying and divergent methods in the treatment of paediatric and
adult wrist fractures. Current opinion and evidence suggest that in paediatric torus
distal radius fractures, management with splinting is as comparable a method of
treatment to the traditional plaster or Paris (POP) casting. This is a retrospective
look at the safety of using the EXOS® thermoplastic (TP) splint to treat wrist
fractures

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Retrospective evaluation of Emergency Department redirection from Nelson Hospital ED to Medical and Injury centre, Nelson.

Author: Dr P. Wimalasena
Type: Other research
Date: 09 Nov 2018

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Management of Scaphoid Injuries and role of early Advanced Imaging for Urgent care clinics in New Zealand.

Author: Dr Muhammad Asim
Type: MLP-case study
Date: 26 December 2017
Abstract: The Scaphoid is the most commonly injured bone amongst carpal bones at the wrist. It accounts for 10% of all hand fractures, 50-80% of all carpal fractures and is one of the most common injuries seen by doctors working in Urgent care clinics. Risk of non-union is up to 10% in all non-displaced fractures. There are serious consequences such as non-union, avascular necrosis and arthritis if this fracture is missed during the initial evaluation. When a high index of suspicion based on the mechanism of injury and clinical exam exists the current protocol is for immobilization with delayed (10+ days) x-rays. Is another imaging strategy more sensitive and cost effective?

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