Send us a text Freddy Frost, research fellow in cystic fibrosis in Liverpool, and Alex Pickard, trainee in acute and emergency medicine in South London, return to The Rounds Table this week. Together they cover apixaban therapy to prevent venous thromboembolism (VTE) in patients with cancer, and omadacycline for treatment of community-acquired bacterial pneumonia (the OPTIC trial). Patients with ... The post OPTICal Illusions: Apixaban for Prevention of VTE and Omadacycline for Community-Acquire...
Mar 08, 2019•31 min
Send us a text Paxton Bach, general internist in Vancouver, is hosting this week’s episode of The Rounds Table alongside Kate Colizza generalist internist in Calgary. This week they are covering studies related to addiction medicine that are relevant to all areas of practice – the use of e-cigarettes for smoking cessation and initiation of medication for opioid use ... The post Cracking Down: E-Cigarettes for Smoking Cessation and Medication for Opioid Use Disorders after Nonfatal Opioid Overdos...
Mar 01, 2019•33 min
Send us a text Kieran Quinn is back on the Rounds Table this week with Michael Fralick, general internist at the University of Toronto. This week they are covering four articles in rapid-fire style on maternal first trimester ondansetron and fetal outcomes, assessment of outpatient antibiotic prescribing patterns, creatinine in the peri-partum period, and a pharmacist-led intervention for deprescribing. The ... The post Pregnancy & Prescription Pads: Maternal Ondansetron Use, Renal Function ...
Feb 22, 2019•31 min
Send us a text Andre Madison, General Internal Medicine (GIM) fellow at Western University, is back on The Rounds Table with Michael Juba, clinical pharmacist at London Health Sciences Centre in Infectious Disease and Anti-Microbial Stewardship. Together they are covering the efficacy of ceftazidime-avibactam salvage therapy for Klebsialla pneumoniae carbapenemase (KPC)-producing Klebsiella pneumoniae and transcatheter mitral-valve repair in heart ... The post Superbugs Going Superbad: Ceftazidi...
Feb 15, 2019•22 min
Send us a text Christopher Giuliano, clinical pharmacist, is hosting this week’s episode of The Rounds Table with Claudia Hanni, an Internal Medicine clinical pharmacist. Together they are covering pantoprazole for gastrointestinal bleeding in the intensive care unit and aspirin for primary prevention in patients with diabetes. In the intensive care unit, many patients receive pantoprazole for prevention of ... The post An Ounce of Prevention: Pantoprazole in the Intensive Care Unit and Aspirin ...
Feb 08, 2019•28 min
Send us a text Jonathan Gravel, family medicine resident at the University of Toronto, is joined by Matthew Jefkins, internal medicine resident at Queen’s University, on this week’s episode of The Rounds Table. Together they are covering the use of haloperidol and ziprasidone for delirium in critical illness and fluoxetine on functional outcomes after acute stroke (FOCUS trial). Delirium affects ... The post Mind Over Matter: Antipsychotics for Intensive Care Unit-Associated Delirium and Fluoxet...
Feb 01, 2019•32 min
Send us a text Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside Mike Nicholson, clinical fellow in cystic fibrosis at the University of Toronto. Together they are covering antibiotic prophylaxis and incidence of infective endocarditis and baloxavir marboxil for uncomplicated influenza. Influenza viruses are emerging resistance to ... The post Quit Buggin’ Me: Antibiotic Prophylaxis for Infective Endocarditi...
Jan 25, 2019•31 min
Send us a text Paxton Bach and Samantha Young, both general internists in Vancouver are back on The Rounds Table! Together they are covering the withdrawal of heart failure treatments in patients with recovered dilated cardiomyopathy and icosapent ethyl for cardiovascular risk reduction in patients with hypertriglyceridemia. There is good evidence behind our guidelines for the management of heart ... The post TRED-ing on Thin Ice: Withdrawal of Therapy in Recovered Cardiomyopathy and Icosapent E...
Jan 18, 2019•35 min
Send us a text Katie Wiskar, fellow in General Internal Medicine at the University of British Columbia, and Kate Shoults, general internist in the Greater Vancouver Area, are joining us on The Rounds Table this week! They are covering the association between cardiorespiratory fitness and long-term mortality, and vitamin D and omega-3 fatty acids and the prevention of cancer ... The post Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of ...
Jan 11, 2019•31 min
Send us a text Michael Fralick and John Fralick, both general internists in Toronto, kick off The Rounds Table for the New Year. They cover four articles in a rapid-fire style, including: angiotensin receptor-neprilysin inhibitors (ARNIs) in decompensated heart failure (HF), linagliptin and major cardiovascular events, reduced dietary salt intake in heart failure, and dapagliflozin and cardiovascular outcomes. Sacubitril/valsartan ... The post Salty or Sweet: ARNIs, Reduced Salt Intake in HF, an...
Jan 04, 2019•24 min
Send us a text Katie Wiskar, GIM fellow at the University of British Columbia, is back this week on The Rounds Table. She is joined by Stephane Voyer, practicing general internist at the University of British Columbia. Today they review medication application reminders and aspirin for primary prevention. Forty percent of patients or more are non-adherent to medications that ... The post REPLAY: Apps & Aspirin – Medication Reminder Applications & Aspirin for Primary Prevention appeared fi...
Dec 28, 2018•32 min
Send us a text Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week’s episode of The Rounds Table. Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy ... The post REPLAY: Bugs & Guts – Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in C...
Dec 21, 2018•32 min
Send us a text Jonathan Gravel and Peter Reardon host this week’s episode of The Rounds Table. Together they cover outpatient management of Emergency Department (ED) patients with pulmonary embolism and combining NSAIDs and oral anticoagulants in patients with atrial fibrillation. Peter shares a post-hoc analysis of NSAIDs in the RE-LY (Randomized Evaluation of Long Term Anticoagulant Therapy) trial ... The post The Clot Thickens: Outpatient Management of ED Patients with Pulmonary Embolism &...
Dec 14, 2018•34 min
Send us a text Freddy Frost and Alex Pickard return to The Rounds Table this week. Together they cover the use of sustained prophylactic hypothermia in the management of traumatic brain injury (TBI) and the effectiveness of adding low-dose theophylline to inhaled corticosteroids in chronic obstructive pulmonary disease (COPD). TBI is a leading cause of death and disability, especially ... The post The Polar Express: Sustained Hypothermia for Severe TBI & Low-Dose Theophylline for COPD appear...
Dec 11, 2018•33 min
Send us a text Paxton Bach is back on The Rounds Table with Tristen Gilchrist, general internist in Vancouver. Together they cover statins for primary prevention of cardiovascular events and the prevalence of hospital-acquired infections in the United States. Most elderly patients have a high Framingham coronary heart disease risk score on the basis of age. However, there are ... The post This Stat In: Statins in the Elderly and Prevalence of Nosocomial Infections in the U.S. appeared first on H...
Nov 30, 2018•31 min
Send us a text Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week’s episode of The Rounds Table. Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy ... The post Bugs & Guts: Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary A...
Nov 23, 2018•32 min
Send us a text Christopher Guiliano, clinical pharmacist, is back on The Rounds Table with Carrie Hartner, clinical pharmacist in the medical intensive care unit. Together they cover rivaroxaban in preventing thrombosis in patients with Anti-phospholipid syndrome (APS) and in patients with cancer. The prevalence of APS is 50 in 100,000 patients and it is associated with arterial and ... The post Believe It or Clot: Rivaroxaban in Preventing Thrombosis in Anti-Phospholipid Syndrome and in Cancer ...
Nov 16, 2018•19 min
Send us a text Kieran Quinn is back with Daniel Marinescu, fellow in Respirology at the University of Toronto. Together they cover the SUNSET trial on long-term triple therapy de-escalation in patients with chronic obstructive pulmonary disease (COPD) and the risk of thromboembolism associated with post-operative atrial fibrillation. The new Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines ... The post Sunsets & Heartbeats: Therapy De-Escalation in COPD and Post-Opera...
Nov 09, 2018•28 min
Send us a text Freddy Frost, research fellow in cystic fibrosis in Liverpool, hosts this week’s episode of The Rounds Table with Alex Pickard, trainee in acute and emergency medicine in South London. Together they cover new research on draining malignant pleural effusions and tranexamic acid in intracerebral haemorrhage. To start, Freddy walks listeners through a multicenter study looking ... The post REPLAY: Cut & Dried – Malignant Pleural Effusions and Tranexamic Acid in Intracerebral Haem...
Nov 02, 2018•26 min
Send us a text Katie Wiskar, GIM fellow at the University of British Columbia, is back this week on The Rounds Table. She is joined by Stephane Voyer, practicing general internist at the University of British Columbia. Today they review medication application reminders and aspirin for primary prevention. Forty percent of patients or more are non-adherent to medications that ... The post Apps & Aspirin: Medication Reminder Applications & Aspirin for Primary Prevention appeared first on He...
Oct 26, 2018•32 min
Send us a text Jonathan Gravel, family medicine resident at the University of Toronto, and Maaike deVries, PhD candidate in health services research at the University of Toronto, host this week’s episode of The Rounds Table. They review two articles: the first on coronary computed tomography angiography (CTA) and the 5-year risk of myocardial infarction, and the second on ... The post Living the Bougie Life: Coronary CT Angiography and Risk of MI & First-Attempt Intubation Success appeared f...
Oct 19, 2018•22 min
Send us a text Christopher Giuliano, Internal Medicine clinical pharmacist, hosts this week’s episode of The Rounds Table alongside Amber Lanae Martirosov, clinical pharmacist in ambulatory care with a focus on pulmonology. Both guests join us from Wayne State University. In this episode they cover the use of apixaban in patients with atrial fibrillation and end-stage renal disease (ESRD) ... The post Bleeding Heart: Apixaban for Atrial Fibrillation in ESRD & Safety of Smoking Cessation Medi...
Oct 12, 2018•24 min
Send us a text Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside Erin Spicer, faculty member in GIM also at Western University. This week they cover partial oral versus intravenous antibiotic treatment of infective endocarditis (POIATE trial) and microvascular outcomes in patients with type 2 diabetes mellitus ... The post POIATEic Insight: Oral versus Intravenous Treatment for Infective Endocarditis & B...
Oct 05, 2018•30 min
Send us a text Freddy Frost, research fellow in cystic fibrosis in Liverpool, hosts this week’s episode of The Rounds Table with Alex Pickard, trainee in acute and emergency medicine in South London. Together they cover new research on draining malignant pleural effusions and tranexamic acid in intracerebral haemorrhage. To start, Freddy walks listeners through a multicenter study looking ... The post Cut & Dried: Malignant Pleural Effusions and Tranexamic Acid in Intracerebral Haemorrhage a...
Sep 28, 2018•26 min
Send us a text Paxton Bach and Kieran Quinn are back this week on The Rounds Table covering two articles: changes in end-of-life care in the United States over the past 15 years and energy restricted diets for type 2 diabetes mellitus management. Modern end-of-life care has dramatically changed the number of patients that pass away in an acute ... The post Do or Diet: End-of-Life Care Among US Medicare Beneficiaries and Energy Restricted Diets in Diabetes appeared first on Healthy Debate ....
Sep 21, 2018•34 min
Send us a text Katie Wiskar and Samanatha Young, both GIM fellows at the University of British Columbia, host this week’s episode of The Rounds Table! Together they review survival among patients with curable cancers receiving complementary medicine and epinephrine in out-of-hospital cardiac arrest. Complementary and alternative medicine are frequently used by patients in conjunction or as an alternative ... The post Primum Non Nocere: Complementary Medicine for Curable Cancers and Epinephrine i...
Sep 14, 2018•29 min
Send us a text Kieran Quinn and Paxton Bach kick off Season 5 of The Rounds Table with two articles surrounding peri-operative medicine – both relevant to a wide variety of health care practitioners. The first addresses the use of dabigatran in myocardial injury after non-cardiac surgery (MINS) and the second covers assessment of functional capacity before major non-cardiac ... The post Peri-Operative Dilemmas: Dabigatran for Myocardial Injury Post-Op and Functional Capacity Assessments appeared...
Sep 07, 2018•34 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 Summer Replay – Bugs & Drugs: Antibiotics in Aspiration Pneumonia, Choosing Wisely in Cellulitis Evaluation, and Demysti...
Aug 31, 2018•34 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 Summer Replay – Navigating Cardiovascular Care: a COMPASS for Cardiovascular Events and Managing Blood Pressure in ...
Aug 24, 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 Summer Replay – Seeking a High: Opioid Relapse Prevention & Primary Care Networks and Acute Healthcare Utilization ...
Aug 17, 2018•48 min
