The Podcasts of the Royal New Zealand College of Urgent Care

• Urgent Bite 280 - A Poke in the Eye

  We must be thorough in reviewing patients who have had direct trauma to their eyes.  Objects that are small enough that the orbit provides no protection are of increased concern.  In addition to other injuries, we need to be aware of orbital floor fractures and commotio retinae.     Check out the Stat Pearls page on Orbital Floor injuries Koenen L, Waseem M. Orbital Floor Fracture. [Updated 2023 Dec 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.  Check out the Radiopaedia page by  Alejandro Planas Callao   Check out the paper mentioned Raman Bhakhri and Nicole Landry.  Commitio Retinae: A teaching Case Report. Optometric Education: Volume 48 Number 2 (Winter-Spring 2023)     www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor 

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• Urgent Bite 279 - Pisa Syndrome

  Pisa syndrome is rare, but identifiable in urgent care and associated with drugs we will commonly see.  It is a reversible condition.  It highlights the importance of a full drug history and to consider medications as causes of strange symptoms.     Check out the Prescriber Update, Vol 46, No 3, September 2025 Check out the paper mentioned - Link Pitton Rissardo J, Murtaza Vora N, Danaf N, Ramesh S, Shariff S, Fornari Caprara AL. Pisa Syndrome Secondary to Drugs: A Scope Review. Geriatrics (Basel). 2024 Jul 30;9(4):100. doi: 10.3390/geriatrics9040100. PMID: 39195130; PMCID: PMC11353465.   www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor 

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• Urgent Bite 278 - Ocular Siderosis

  We should be aware of the early signs of ocular siderosis, also known as siderosis bulbi which would indicate a retained metallic intraocular foreign body.     Check out the Stat Pearls page. Acharya I, Raut AA. Siderosis Bulbi. [Updated 2023 Jan 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-   www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor 

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• The STUMBL score - with Dr Ceri Battle

  Dr Ceri Battle is a Consultant Respiratory Physiotherapist and an Honorary Associate Professor in Swansea.  Ceri's PHD work led to the creation of the STUMBL score, a tool to help determine the risk of complications for patients with rib fractures.    Following her pre-recorded talk to our Bootcamp, she discusses the STUMBL score on the podcast and answers questions that arose from her talk last month.   Check out the STUMBL Score on MD Calc   Check out some of Ceri's work Battle C, Hutchings HA, Driscoll T, O'Neill C, Groves S, Watkins A, Lecky FE, Jones S, Gagg J, Body R, Abbott Z, Evans PA. A multicentre randomised feasibility STUdy evaluating the impact of a prognostic model for Management of BLunt chest wall trauma patients: STUMBL Trial. BMJ Open. 2019 Jul 26;9(7):e029187. doi: 10.1136/bmjopen-2019-029187. PMID: 31350248; PMCID: PMC6661629.  LINK Battle C, Cole E, Carter K, Baker E. Clinical prediction models for the management of blunt chest trauma in the emergency department: a systematic review. BMC Emerg Med. 2024 Oct 12;24(1):189. doi: 10.1186/s12873-024-01107-6. PMID: 39395934; PMCID: PMC11470733. LINK    www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor 

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• Urgent Bite 277 - Hypochondriasis

  Why is it called hypochondriasis, and why might it benefit our patients to identify cases and ensure proper follow-up and treatment? Check out the papers mentioned. Sunderland M, Newby JM, Andrews G. Health anxiety in Australia: prevalence, comorbidity, disability and service use. Br J Psychiatry. 2013 Jan;202(1):56-61. doi: 10.1192/bjp.bp.111.103960. Epub 2012 Apr 12. PMID: 22500013. link Florian Weck, Samantha Richtberg, Julia M.B. Neng, Epidemiology of Hypochondriasis and Health Anxiety: Comparison of Different Diagnostic Criteria, Current Psychiatry Reviews; Volume 10, Issue 1, 2014, . DOI: 10.2174/1573400509666131119004444 link Mataix-Cols D, Isomura K, Sidorchuk A, Rautio D, Ivanov VZ, Rück C, Österman S, Lichtenstein P, Larsson H, Kuja-Halkola R, Chang Z, Brickell I, Hedman-Lagerlöf E, Fernández de la Cruz L. All-Cause and Cause-Specific Mortality Among Individuals With Hypochondriasis. JAMA Psychiatry. 2024 Mar 1;81(3):284-291. doi: 10.1001/jamapsychiatry.2023.4744. PMID: 38091000; PMCID: PMC10719832. link   www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor 

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