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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 ...

The post Bad to the Bone: Oral Antibiotics for Orthopedic Infections and Lung Ultrasound for Decompensated Heart Failure appeared first on Healthy Debate.

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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-tissue and ...

The post Contamination & Communication: Postdischarge MRSA Decolonization and Web-Based Decision Aids in the ICU appeared first on Healthy Debate.

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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-Acquired Bacterial Pneumonia appeared first on Healthy Debate.

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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 Overdose appeared first on Healthy Debate.

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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 in Pregnancy and Assessing Prescribing and Deprescribing Patterns appeared first on Healthy Debate.

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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: Ceftazidime-Avibactam Salvage Therapy for Klebsiella pneumoniae and Transcatheter Mitral-Valve Repair in Heart Failure appeared first on Healthy Debate.

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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 for Primary Prevention in Diabetes appeared first on Healthy Debate.

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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 Fluoxetine after Acute Stroke appeared first on Healthy Debate.

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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 Endocarditis and Baloxavir Marboxil for Uncomplicated Influenza appeared first on Healthy Debate.

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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 Ethyl for Hypertriglyceridemia appeared first on Healthy Debate.