The Rounds Table

Send us Fan Mail Katie Wiskar, GIM fellow at the University of British Columbia, and Paxton Bach, general internist in Vancouver are back on The Rounds Table.  This week they are covering oral versus intravenous antibiotics for bone and joint infections (OVIVA trial) and lung ultrasound integrated with clinical assessment for diagnosing acute decompensated heart failure (ADHF). Complex orthopedic...

Send us Fan Mail Kieran Quinn and Emily Hughes host this week’s episode of The Rounds Table. They discuss decolonization to reduce postdischarge infection risk among methicillin-resistant Staphylococcus aureus (MRSA) carriers and the effects of a web-based decision aid for surrogate decision makers of patients with prolonged mechanical ventilation. MRSA is the most common cause of skin, soft-tissu...

Send us Fan Mail 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 wit...

Send us Fan Mail 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...

Send us Fan Mail 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 depres...

Send us Fan Mail 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 pne...

Send us Fan Mail 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...

Send us Fan Mail 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...

Send us Fan Mail 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...

Send us Fan Mail 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 hea...

Send us Fan Mail 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 You...

Send us Fan Mail 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 cardiova...

Send us Fan Mail 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:...

Send us Fan Mail 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 ... T...

Send us Fan Mail 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) t...

Send us Fan Mail 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 po...

Send us Fan Mail 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...

Send us Fan Mail 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 ... T...

Send us Fan Mail 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 pos...

Send us Fan Mail 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 Diseas...

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 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 &am...

Send us Fan Mail 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 th...

Send us Fan Mail 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) ... Th...

Send us Fan Mail 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 melli...