Urgent care research

Author: Dr Olu De Rozario
Type: MLP-research
Date:November 2020
Abstract: This retrospective audit was aimed at determining the best treatment modality for
proximal (zone one) fifth metatarsal fractures in an urgent care setting. The analysis was
not able to show a statistically significant advantage between treatment groups (weight
bearing moon boot/non weight bearing moonboot/non weight bearing below knee cast) in
fracture healing at six weeks post injury.

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.

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.

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.

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.

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.

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

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

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?