The Royal New Zealand College of Urgent Care

The Royal New Zealand College of Urgent Care The Official page for the Royal New Zealand College of Urgent Care HOUSE RULES
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The Royal New Zealand College of Urgent Care is a medical college responsible for training doctors in the branch of urgent care. Urgent care is an independent branch of medicine recognised by the Medical Council of New Zealand. RNZCUC defines urgent care as episodic no-appointments primary care services that are covered by RNZCUC's training programme, and delivered from a RNZCUC-approved urgent ca

re facility. RNZCUC was initially formed in 1992 by doctors working in community clinics and hospital emergency departments, and in 1995 became an incorporated society, the Accident and Medical Practitioners Association (AMPA). The New Zealand Medical Council recognised Accident and Medical Practice as a branch of medicine in 2000. In 2011, AMPA changed its name to College of Urgent Care Physicians Incorporated, the branch name to urgent care, and the doctor's designation to urgent care physician. In 2013, by Royal decree, it changed again to Royal New Zealand College of Urgent Care. We’d love you to get involved by sharing your thoughts with us. If you’d like to talk with us on here we ask that you stick to the posting guidelines of Facebook and understand that RNZCUC reserves the right to remove any posts which, in our opinion:

• Are bullying, threatening, discriminating, abusive, defamatory, obscene, indecent, infringing, unlawful or objectionable
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All comments, visuals, videos and other type of material posted by contributors on this site ("User Content") do not necessarily reflect the opinions or ideals of RNZCUC, its employees or affiliates. Also, please note that by posting anything in this community you are agreeing for us to use the content you post (including product or campaign ideas) in the future without any obligation to you.

Steroids in preschool wheeze. The controversy continues. Remember this is ED based and so how does it correlate to Urgen...
12/09/2024

Steroids in preschool wheeze. The controversy continues. Remember this is ED based and so how does it correlate to Urgent Care practice? Do we routinely prescribe prednisolone? When should we prescribe prednisolone? I think we still have questions.

Discover the causes and solutions for preschool wheeze in children. Find out how to manage and prevent wheezing in young kids.

Very hard condition to diagnose as it is so very rare. Hello team. I had a case of this last year so really interesting ...
05/09/2024

Very hard condition to diagnose as it is so very rare. Hello team. I had a case of this last year so really interesting to have someone post about it as well.

Demystifying sternal osteomyelitis: What you need to know about this rare cause of acute chest pain in children.

27/06/2024

NG tubes. Are they useful? Probably not. Which is great to avoid arguments with surgeons. If a surgeon wants an NG do it yourself... Thus no point of doing it in ED or urgent care. https://youtu.be/ofG2j7Eawos?si=2cbwOQ9rs_Ekv7tC

06/06/2024

So this is a bit of an update from RCEM on paediatric lacerations. In urgent care we have our limitations. We do not usually use ketamine that is reserved for hospital practice. But there are a couple of points in here that are interesting.
1. The use of LAT, this is often called topicaine in New Zealand. I find it really good for facial lacerations.
2. I have never though to much about LAT/topicaine for finger lacerations and it is interesting. Raed the reference about myth busting for fingers and adrenalin.
3. Play therapy. Well we don't have play therapist at my work but distraction therapy and device therapy can really get you over the line.
https://www.rcemlearning.co.uk/foamed/paediatric-wound-management/

30/05/2024

Interesting that this has popped up in the newshub website. Phenergan and all sedating antihistamines have a warning from medsafe to absolutely not use in under 6's. This comes from 2013 so it 11 years and still somehow we have to keep warning parents to not use sedating antihistamines. i have in the past experienced severe sedation and apnoea with phenergan in patients.
https://www.newshub.co.nz/home/new-zealand/2024/05/parents-warned-to-stop-giving-promethazine-to-young-children-after-risky-side-effects.html
Link to article.
https://www.medsafe.govt.nz/profs/puarticles/mar2013childrenandsedatingantihistamines.htm #:~:text=Key%20Messages&text=Sedating%20antihistamines%20are%20contraindicated%20in%20children%20less%20than%20six%20years,respiratory%20depression%2C%20coma%20and%20death.
Link to medsafe

I saw this the other day. Pun intended since it's an ophthalmology condition. To be honest I did not get the diagnosis r...
23/05/2024

I saw this the other day. Pun intended since it's an ophthalmology condition. To be honest I did not get the diagnosis right but I am happy . It looked for all the world like orbital cellulitis and so was referred in and staying in eye ward on IV antibiotics. This review comes from paediatric website but eyes are eyes all the same.

What do you know about dacryocystitis and blocked tear ducts?

One of the most interesting question in the college MSFS asked of colleagues is "is able to say 'No'". Geuss which quest...
16/05/2024

One of the most interesting question in the college MSFS asked of colleagues is "is able to say 'No'". Geuss which question has the lowest score in all the MSFS's that I have read? Why is that? Is it a good thing? Is it healthy for your mental health? Does this contribute to burnout?

Can you do my on-call shift tomorrow? er...er...er

High blood pressure. Is it important? Perhaps not as important as you think in urgent care or emergency departments. If ...
07/05/2024

High blood pressure. Is it important? Perhaps not as important as you think in urgent care or emergency departments. If there is no hypertensive emergency involving end organ damage then there is time and no fuss. They can wait. Their worry is the biggest worry and therefore reassurance and GP follow up. Start a medicine if you want to, but above all do not harm.

by Dr. Fiona Pinto July 1, 2023 0 Hey Doc, His Blood Pressure is 190/ 110. Now what do we do?   Case:  Case 1– Patient comes to the ED sent by the GP with a BP of 200/110 and a history of hypertension. No symptoms. What do you do?  Case 2- Patient is coming in with headaches/ migraines and a h...

First 10 em recommended this blog and post. Nice summary of electrical injury management. Low voltage and alive = low ri...
01/05/2024

First 10 em recommended this blog and post. Nice summary of electrical injury management. Low voltage and alive = low risk.

by Dr. Fiona Pinto April 8, 2024 0 Clinical Scenario: A 38-year-old male presents to the emergency department after experiencing an electrical shock while working on a household toaster with un-gloved hands. The patient describes the shock as more severe than any previous experience but currently de...

Parental guidance in ED. Lets change that to parental guidance in urgent care. I always say that information is power an...
25/04/2024

Parental guidance in ED. Lets change that to parental guidance in urgent care. I always say that information is power and a lot of the time we need to convey information in a respectful and understandable manner. A lot of our job is reassurance but also you need to safety net. Or as they say here anticipatory guidance. For me this is in the form of "this is what I would worry about." So I like to explain in simple detail what to worry about and what to expect. Although sometimes I'm not sure that it is fully understood and so it is sometimes good to provide written safety netting as well.

Anticipatory Guidance and Parental Guidance are very important aspects of what we do in the Pediatric ED. Let's Review some typical points.

22/04/2024

The limping child. This is a great little video about the assessment of the limping child. Good exam tips and a very broad differential to consider.

This is an information page that simplifies reflux and you could use as a resource to give you patients parents. Reflux ...
17/04/2024

This is an information page that simplifies reflux and you could use as a resource to give you patients parents. Reflux is common and usually does not need treatment.

FREE online resource empowering you to manage common childhood illnesses with expert information

Chemical eye injuries do commonly present to urgent care. Do you know how to manage? Can you use the litmus? is it usefu...
15/04/2024

Chemical eye injuries do commonly present to urgent care. Do you know how to manage? Can you use the litmus? is it useful? Is it the right kind of litmus?

This article gives a brief summary of chemical eye injuries and how to manage them in the acute setting.

Has anyone seen this? Not common but kids and even infants get breast problems.So the next time or the first time you se...
08/04/2024

Has anyone seen this? Not common but kids and even infants get breast problems.
So the next time or the first time you see it you will know what it is and what to do.

Name That Rash! Swollen breast tissue in a newborn.

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