Month: September 2020

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...