Today we are joined by the man, the myth, and the legend, Dr. Stacy Johnson, to talk about a new meta-analysis of using aspirin for DVT prophylaxis after a total hip or knee replacement.  We also review a new retrospective cohort study from Cleveland Clinic on whether it's safe to give the recommended 30 ml/kg fluid bolus to patients with sepsis who also have CHF, cirrhosis or ESRD.  Check it out!

Aspirin for VTE Prophylaxis after THA or TKA

Fluid Management for Sepsis in Patients with ESRD, Cirrhosis and CHF

 





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"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

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Today we are joined by the very smart Dr. Jason Carr, a pulmonary/critical care fellow, to talk about two big papers from the wonderful world of lungs.  Does CT screening for lung cancer save lives?  Do you have to put a chest tube in every patient with a spontaneous pneumothorax?  Check it out!

CT Screening for Lung Cancer, AKA NELSON

Conservative vs Interventional Treatment for Spontaneous Pneumothorax






Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

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It's our tenth episode!  Thanks for getting us this far.  Today we discuss the new coronavirus outbreak, what to do with high sensitivity troponins, whether hydroxyethyl starch should be used in abdominal surgery (spoiler alert: it shouldn't) and the appropriate use of testosterone therapy.

Novel Coronavirus in China

High Sensitivity Troponins and the Fourth Universal Definition of MI

Hydroxyethyl Starch versus Saline in Major Abdominal Surgery

Efficacy and Safety of Testosterone Treatment in Men 






Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we are joined by the wonderful Dr. Emily Signor to talk about new therapeutic approaches to DVT prophylaxis, how much time physicians spend using the EHR in clinic, and whether that Vitamin C cocktail works for septic shock.  Check it out!

Effect of Osocimab in Preventing VTE in Patients Undergoing TKA 

Physician Time Spent Using the EHR During Outpatient Encounters

Vitamin C, Thiamine and Hydrocortisone for Septic Shock







Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we try something a little different -- three co-hosts!  Dr. Dani Babbel joins Jenkins and Rupp for some lively discussion about hotspotting, very severe aortic stenosis and whether adherence improves when medications are free.  Check it out!

Health Care Hotspotting

Early Surgery for Asymptomatic Aortic Stenosis

Effect on Treatment Adherence of Distributing Essential Medicines at No Charge

Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Happy New Year and welcome to the first episode of 2020!  We've got some great articles to review today.  Can we save money by taking care of some acutely ill patients in their own homes?  Are patients admitted for "social" reasons at the same risk for adverse events as acutely ill patients?  Can NT-ProBNP level predict cardiovascular death and myocardial injury after non-cardiac surgery?  Does limiting alcohol intake reduce atrial fibrillation recurrence?  Listen to find out!

Hospital Level Care at Home for the Acutely Ill

Adverse Events in Patients Hospitalized Without Definite Medical Acuity

Preoperative NT-ProBNP before Non-Cardiac Surgery

Alcohol Abstinence and Atrial Fibrillation








Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Dr. Rupp is back! Today we talk about whether it's safe to give group 2 gadolinium based contrast agents to patients with CKD stage 4 and 5 and whether metoprolol can be used to prevent COPD exacerbations.  We also shine some more sunlight on the sunshine vitamin's inability to change any meaningful outcomes, and discuss some interesting data from the Intern Health Study.

Risk of Nephrogenic Systemic Fibrosis in Patients with Stage 4 or 5 CKD Receiving Group II Gadolinium Based Contrast Agent

Metoprolol for the Prevent of Acute Exacerbations of COPD

Early High-Dose Vitamin D3 for Critically Ill, Vitamin D-Deficient Patients

Political events and mood among young physicians








Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

This week we have a special guest host, Dr. Dani Babbel.  We talk about the new guidelines on upper GI bleeding, a new study on E-VALI, and the possible association of beta blockers with heart failure hospitalizations in heart failure with EF > 50%.

Management of Upper GI Bleeding Guidelines

Clinical presentation, treatment and short term outcomes of E-VALI

Association of Beta-Blocker Use with Heart Failure Hospitalizations in HFpEF




Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Can you get away with a higher d-dimer value in patients with a low pre-test probability for PE?  Does working more days in a row improve patient outcomes?  How often are people inappropriately prescribing fluoroquinolones?  How often are people using systemic lytics vs catheter directed lytics in acute PE, and what are the outcomes?


Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R

Today we talk about the effects of vitamin D in progression of CKD in people with diabetes, and whether SGLT-2 inhibitors like dapagliflozin can be used to treat heart failure with reduced ejection fraction in people without diabetes.  We also talk about ticagrelor monotherapy after three months of DAPT, rivaroxaban for the treatment of APS (don't do it!) and LDL targets for stroke prevention.  

Music from https://filmmusic.io
"Sneaky Snitch" by Kevin MacLeod (https://incompetech.com)
License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Music from Uppbeat (free for Creators!):

https://uppbeat.io/t/soundroll/dope

License code: NP8HLP5WKGKXFW2R