Kotahitanga-5

This months issue of Kotahitanga got the rural community talking. Retrieval and transport delays are an important consideration in patients presenting with stroke and clot retrieval requires transfer outside our own DHB. Inter hospital transfer for CT head for minor head injuries in anti-coagulated patients is routine occurance with...

CRUSH 3 Gallbladder

Acute Cholecystitis is a common complications of gallstone disease, and a frequent cause of right upper quadrant pain in patients presenting to the emergency department. ED PoCUS has been shown to be similarly accurate to radiology performed ultrasound when the following sonographic features are present. Presence of gallstones plus one...

Pathways and Pipelines; the road to Rural Generalism

At this years NZRHN Rural Hospital Summit in Wellington, I was fortunate to hear Dr Kati Blattner speak. Amongst other achievements she is a clinician and academic instrumental in making vocational training for rural remote generalist doctors what it is today. Undertaking the Rural Hospital Training Programme in parallel to...

Diabetes management

As part of Otago Universities ‘Leaning on Fence Post’ series hosted by the fabulous Matilda Hamilton, Dr Alex Mcleod and Sharon Sandilansd give us an update on all things Diabetes. The series is also available wherever you get your podcasts....

Kotahitanga 4

We love this months Kotahitanga! No more sniffing geriatric urine, a little more digital adrenaline and a little less gabapentin for back pain. Thanks Kotahitanga....

The agitated patient

Here in Taupo we are fortunate to have regular educational simulations run by our resident ED specialist Dr Jared Bayless. Thanks to Dr Jeremy Webber and Andrew Tattle for workshopping how the agitated patient is cared for in the ED. In an aggressive conflict situation, the best advice is...

Breaking Bad (News)

Delivering bad news in a compassionate way can make this difficult situation easier to cope with for patients, their families and clinicians themselves. Thanks to Hailey and Kendall who helped us workshop these skills at Taupo Hospital. SPIKES The SPIKES model was first published in The Oncologist in 2000 as a...

Kotahitanga 3

This week we debated the management of spontaneous pneumothorax and use of high sensitivity of TnI for syncope patients. Thanks Kotahitanga for continuing to bring the scientific rigour. Does your centre offer high sensitivity TnI for syncope patients?...

Māori Health Matters

Confessions of a racist Doctor. I am racist.  I was born in an Australian capital city, a nation with a history of political non-compliance with The Universal Declaration of Human Rights to its mistreatment of indigenous peoples since 1788.  The 1901 White Australia policy excluded people of non-European ethnic...

Introducing Kotahitanga

Here ED experts from around NZ review cutting edge literature. Kotahitanga’s mission is to share that wisdom and accelerate the dissemination of locally beneficial new ideas in Emergency Medicine. Download the full publication here:...