Send us a text This week on the Rounds Table Kieran Quinn and Katie Whiskar cover two important studies: low fat versus low carb diets for weight loss and the role of opioids vs non-opioids in the management of chronic pain. Diet modification is key to weight loss. Yet, no one dietary strategy is consistently superior to others for ... The post Summer Replay: If the Diet Fits! A SPACE for Opioids in Chronic Pain & Low Fat vs Low Carb Diets for Weight Loss appeared first on Healthy Debate ....
Aug 10, 2018•31 min
Send us a text This week on The Rounds Table Kieran Quinn and Mike Fralick are back with another rapid fire episode: just the salient points from four articles instead of two, this time examining important cardiovascular studies. The risk of subsequent stroke after minor stroke or TIA is as high as 15% within 90 days. Mike covers the ... The post Summer Replay – Cardiovascular Rapid Fire: MRI-Guided Thrombolysis, Recurrent Stroke Prevention, and E-Cigs & Smoking Cessation appeared first on H...
Aug 03, 2018•32 min
Send us a text This week on the Rounds Table Kieran Quinn and Andrew Smaggus bring listeners up to date with the evidence on education outcomes in a duty-hour flexibility trial and the relationship between physician years of experience and mortality in hospitalized patients. The duty hour question is one important branch of the overall question of how to ... The post Summer Replay: Call Me Maybe? Education Outcomes and Duty Hours & Physician Experience and Mortality appeared first on Healthy...
Jul 27, 2018•34 min
Send us a text All good things must come to an end. As the final episode of the season, Kieran looks back at his top 5 favorite papers from The Rounds Table 2017-2018 year and shares updates for next season. It’s a rapid fire episode like you’ve never heard before! See the links to the papers below. We want ... The post Top Five – The Best of the Year appeared first on Healthy Debate ....
Jul 06, 2018•15 min
Send us a text This week on The Rounds Table Andrew Smaggus and Paul Bunce are back with new evidence on the association between home care visits and same day emergency department use as well as antibiotics for pneumocystis pneumonia. The extent to which home care visits contribute to the delay or avoidance of ED visits has not been ... The post An Ounce of Prevention: Home Visits and ED Use & Septra Prophylaxis for Pneumocystis Pneumonia appeared first on Healthy Debate ....
Jun 29, 2018•36 min
Send us a text Paxton Bach and Kieran Quinn are back this week with new updates on diabetes medications and emerging evidence on the effect of renal denervation on blood pressure. Diabetes randomized controlled trials have moved away from surrogate endpoints in recent years and towards the endpoint of mortality. Paxton shares a meta-analysis comparing all-cause mortality associated with ... The post Hit a Nerve? Comparing Mortality with Oral Antihypoglycemics & Renal Denervation for BP Contr...
Jun 22, 2018•31 min
Send us a text This week on The Rounds Table Kieran Quinn and Katie Wiskar are back with two important studies; the first on visiting hours in the ICU and the second on NT-proBNP guided therapy in heart failure. Katie takes listeners through a systematic review and meta-analysis which showed that flexible ICU visiting policies were associated with reduced ... The post Take a Closer Look: Flexible ICU Visiting Policies & BNP-Guided Inpatient Heart Failure Management appeared first on Healthy ...
Jun 15, 2018•33 min
Send us a text This week on The Rounds Table Kieran Quinn and Mike Fralick are back with another rapid fire episode: just the salient points from four articles instead of two, this time examining important cardiovascular studies. The risk of subsequent stroke after minor stroke or TIA is as high as 15% within 90 days. Mike covers the ... The post Cardiovascular Rapid Fire: MRI-Guided Thrombolysis, Recurrent Stroke Prevention, and E-Cigs & Smoking Cessation appeared first on Healthy Debate ....
Jun 08, 2018•32 min
Send us a text This week on The Rounds Table Kieran is joined by Dr. Dan Aronov, a new voice on The Rounds Table from Melbourne, Australia. Kieran and Dan guide listeners through recent advances in cardiovascular care. Dan steers listeners through the COMPASS trial examining rivaroxaban with or without aspirin in patients with stable atherosclerotic vascular disease to ... The post Navigating Cardiovascular Care: a COMPASS for Cardiovascular Events and Managing Blood Pressure in Barbershops appe...
Jun 01, 2018•35 min
Send us a text This week The Rounds Table is packed with new content. Kieran Quinn co-hosts the episode with Jonathan Gravel. Jon covers new evidence on treatment for opioid use disorder. Kieran covers an article on the effect of provider affiliation with a primary care network on acute healthcare utilization. The episode also features special guests David Juurlink ... The post Seeking a High: Opioid Relapse Prevention & Primary Care Networks and Acute Healthcare Utilization appeared first o...
May 25, 2018•48 min
Send us a text This week The Rounds Table is packed with the latest on bugs and drugs as well as a special segment on the editorial process. Dr. Paul Bunce, Infectious Diseases physician, and Kieran Quinn cover antibiotics in aspiration pneumonia and choosing wisely in cellulitis evaluation. Emily Hughes and Sheliza Halani speak with Dr. Matt Stanbrook, Deputy ... The post Bugs & Drugs: Antibiotics in Aspiration Pneumonia, Choosing Wisely in Cellulitis Evaluation, and Demystifying the Editor...
May 18, 2018•34 min
Send us a text This week The Rounds Table features another new host: Christopher Guiliano, clinical pharmacist at Wayne State University. Kieran and Chris cover acute kidney injury with combination antibiotics and managing migraines with prochlorperazine and diphenhydramine versus hydromorphone. Understanding the nephrotoxic consequences of prescribing antibiotics is critical for physicians. Chris takes listeners through a prospective evaluation of ... The post Potion Commotion: Acute Kidney Inj...
May 11, 2018•31 min
Send us a text This week The Rounds Table bridges the Atlantic. Kieran Quinn is joined by Freddy Frost from the University of Liverpool to cover talc administration by indwelling pleural catheter for pleurodesis and comparing cardiovascular risk scores in the Emergency Department. It’s not often that we see an interventional randomized controlled trial performed in a population with ... The post Drain or Retain? Talc Administration in Pleurodesis & Cardiovascular Risk Scores in the ED appear...
May 04, 2018•32 min
Send us a text This week on the Rounds Table Kieran Quinn and Katie Whiskar cover two important studies: low fat versus low carb diets for weight loss and the role of opioids vs non-opioids in the management of chronic pain. Diet modification is key to weight loss. Yet, no one dietary strategy is consistently superior to others for ... The post If the Diet Fits! A SPACE for Opioids in Chronic Pain & Low Fat vs Low Carb Diets for Weight Loss appeared first on Healthy Debate ....
Apr 27, 2018•31 min
Send us a text This week on the Rounds Table Kieran Quinn and Andrew Smaggus bring listeners up to date with the evidence on education outcomes in a duty-hour flexibility trial and the relationship between physician years of experience and mortality in hospitalized patients. The duty hour question is one important branch of the overall question of how to ... The post Call Me Maybe? Education Outcomes and Duty Hours & Physician Experience and Mortality appeared first on Healthy Debate ....
Apr 20, 2018•34 min
Send us a text This week on The Rounds Table features a special guest! Deputy Editor for CMAJ, Matthew Stanbrook, Emily Hughes, and Kieran Quinn take listeners through two articles. Kieran and Emily start with a clinical trial of solanezumab for the treatment of Alzheimer’s. Matt and Emily then cover repeated influenza vaccination to prevent severe and fatal influenza. ... The post History Repeats Itself! Solanezumab for Alzheimer’s & Repeat Vaccination to Prevent Influenza appeared first on...
Apr 13, 2018•31 min
Send us a text This week on The Rounds Table Kieran Quinn and Paxton Bach take listeners through articles covering new evidence on prescribing fluids to critically and non-critically ill patients as well as new evidence on increasing the dose of inhaled corticosteroids for asthma exacerbations. IV fluids are a staple of hospital medicine, almost all patients will receive ... The post Feeling Salty? Normal Saline vs. Balanced Crystalloids & Quadrupling Asthma Medications appeared first on Hea...
Apr 06, 2018•33 min
Send us a text This week on The Rounds Table Kieran Quinn and Ashley Minuk are back with two articles with a bend toward primary care and hospitalist physicians. Ashley covers aspirin versus rivaroxaban for VTE prophylaxis after hip or knee arthroplasty. Kieran shares an article on the use of ridesharing apps to decrease missed appointments. After hip or ... The post Need a Lyft? VTE Prophylaxis After Arthroplasty & Ridesharing to Decrease Missed Appointments appeared first on Healthy Debate...
Mar 30, 2018•28 min
Send us a text It’s diabetes week on The Rounds Table. Mike Fralick and Kieran Quinn are back with the latest evidence in another Rapid Fire episode: four articles covered instead of the usual two. Canagliflozin has an impressive cardiovascular benefit profile for patients with a high burden of cardiovascular disease, based on data from randomized control trials. Mike ... The post Sugar Coating Diabetes Meds? Oral Antiglycemics and Diabetes Management, Rapid Fire appeared first on Healthy Debate...
Mar 23, 2018•32 min
Send us a text This week on The Rounds Table we are covering new evidence on two important topics: migraine and risk of cardiovascular disease, and a clinical decision rule for Emergency Department transfer of older individuals who have sustained a fall. Laura Walker and Kieran Quinn highlight the key points for listeners. Migraines are a very common primary ... The post Clear Mind, Clear Body: Cardiovascular Disease in Migraine and Decision to Transfer to the ED After a Fall appeared first on H...
Mar 16, 2018•31 min
Send us a text This week on The Rounds Table we are following up on the prevalence of PE in syncope and reviewing the evidence on corticosteroids for pneumonia. Ariel Lefkowitz and Kieran Quinn break down these two important articles for listeners. Do you routinely prescribe steroids in pneumonia? Ariel shares a Cochrane review which covers the literature to ... The post Just Breathe: Prevalence of PE in Syncope & Corticosteroids for Pneumonia appeared first on Healthy Debate ....
Mar 09, 2018•32 min
Send us a text This week on The Rounds Table Kieran Quinn and Paxton Bach are covering two important articles: catheter ablation for atrial fibrillation with heart failure and the association between myocardial infarction (MI) and influenza. It is common for atrial fibrillation and CHF to co-exist in patients. Yet, optimal management of these co-existing conditions has yet to ... The post King of the CASTLE: Catheter Ablation for Afib with Heart Failure and Myocardial Infarction in Influenza app...
Mar 02, 2018•33 min
Send us a text This week on The Rounds Table we are covering two important studies: diagnostic management of pulmonary embolism and safety of varying the frequency of whole blood donation. Kieran Quinn and Lauren Lacroix break it down for listeners. Pulmonary embolism represents a diagnostic challenge in the Emergency Department for patients presenting with a variety of symptoms ... The post REPLAY: Bloody Brilliant! Diagnostic Management of Pulmonary Embolism and Frequency of Blood Donation app...
Feb 23, 2018•30 min
Send us a text This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons. Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Prevention of CIN ... The post REPLAY: Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon ...
Feb 16, 2018•33 min
Send us a text This week on The Rounds Table Kieran and Mike are back with another rapid fire episode: just the salient points from four articles instead of two. Guidelines recommend the use of hydrocortisone in patients with septic shock if adequate fluid resuscitation and treatment with vasopressors does not restore hemodynamic stability; however, current guidelines classify this ... The post More or Less: Sepsis, Shock, Stroke, and Staying Dry in Heart Failure appeared first on Healthy Debate...
Feb 09, 2018•33 min
Send us a text This week on The Rounds Table we are examining two important studies: the first looking at an association between wait times for hip fracture surgery and mortality, and the second examining clinician denials of patient requests. Hip fractures are a relatively common injury among our aging population. As our elderly population increases, hip fractures are ... The post Too Much to Ask? Wait Times for Hip Fracture Surgery and Clinician Denials of Patient Requests appeared first on He...
Feb 02, 2018•24 min
Send us a text This week on The Rounds Table we are covering two important articles: the first examining combination opioids versus non-opiods for acute pain, and the second examining the use of edoxaban to treat cancer-associated venous thromboembolism (VTE). Kieran Quinn and Paxton Bach break it down for listeners. Opioid addiction is arguably the biggest epidemic of our ... The post Choosing the Right Drug: Non-Opioids for Acute Pain & Edoxaban for Venous Thromboembolism appeared first on...
Jan 26, 2018•31 min
Send us a text This week on The Rounds Table we are trying something different as our first new episode of 2018: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Mike and Kieran break it down for listeners. Novel oral anticoagulants (NOACs) are everywhere, and they can put patients at ... The post Fire Away! Choosing the Right NOAC & How Physician Training Affects Patient Outcomes appeared first on Healthy Debate ....
Jan 19, 2018•33 min
Send us a text What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related ... The post REPLAY: PURE at HEART – Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department appeared fir...
Jan 12, 2018•30 min
Send us a text This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies ... The post REPLAY: Don’t Go Breaking My Heart – Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure...
Jan 05, 2018•30 min
