The Rounds Table

Send us Fan Mail 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 ... T...

Send us Fan Mail 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 M...

Send us Fan Mail 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 a...

Send us Fan Mail 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-Op...

Send us Fan Mail 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 &...

Send us Fan Mail 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...

Send us Fan Mail 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 – S...

Send us Fan Mail 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 Opioid...

Send us Fan Mail 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-Gu...

Send us Fan Mail 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...

Send us Fan Mail 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 .

Send us Fan Mail 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 &am...

Send us Fan Mail 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...

Send us Fan Mail 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: Flexibl...

Send us Fan Mail 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 Thrombolysi...

Send us Fan Mail 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 Ca...

Send us Fan Mail 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: O...

Send us Fan Mail 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: Anti...

Send us Fan Mail 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. Chr...

Send us Fan Mail 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...

Send us Fan Mail 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 Pa...

Send us Fan Mail 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 Out...

Send us Fan Mail 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 Repea...

Send us Fan Mail 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 Sal...

Send us Fan Mail 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...