The Rounds Table

By Dr. John Fralick and Dr. Michael FralickScience Medicine Health & Fitness Education Life Sciences

The Rounds Table episodes

February 01, 2019 Mind Over Matter: Antipsychotics for Intensive Care Unit-Associated Delirium and Fluoxetine after Acute Stroke
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 ...
The post Mind Over Matter: Antipsychotics for Intensive Care Unit-Associated Delirium and Fluoxetine after Acute Stroke appeared first on Healthy Debate.
33 min
January 25, 2019 Quit Buggin’ Me: Antibiotic Prophylaxis for Infective Endocarditis and Baloxavir Marboxil for Uncomplicated Influenza
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 emerging resistance to ...
The post Quit Buggin’ Me: Antibiotic Prophylaxis for Infective Endocarditis and Baloxavir Marboxil for Uncomplicated Influenza appeared first on Healthy Debate.
32 min
January 18, 2019 TRED-ing on Thin Ice: Withdrawal of Therapy in Recovered Cardiomyopathy and Icosapent Ethyl for Hypertriglyceridemia
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 heart ...
The post TRED-ing on Thin Ice: Withdrawal of Therapy in Recovered Cardiomyopathy and Icosapent Ethyl for Hypertriglyceridemia appeared first on Healthy Debate.
35 min
January 11, 2019 Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease
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 Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and Cardiovascular Disease appeared first on Healthy Debate.
32 min
January 04, 2019 Salty or Sweet: ARNIs, Reduced Salt Intake in HF, and Cardiovascular Safety of Diabetes Medications
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 cardiovascular outcomes. Sacubitril/valsartan ...
The post Salty or Sweet: ARNIs, Reduced Salt Intake in HF, and Cardiovascular Safety of Diabetes Medications appeared first on Healthy Debate.
24 min
December 28, 2018 REPLAY: Apps & Aspirin – Medication Reminder Applications & Aspirin for Primary Prevention
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: Apps & Aspirin – Medication Reminder Applications & Aspirin for Primary Prevention appeared first on Healthy Debate.
33 min
December 21, 2018 REPLAY: Bugs & Guts – Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease
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 ...
The post REPLAY: Bugs & Guts – Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease appeared first on Healthy Debate.
32 min
December 14, 2018 The Clot Thickens: Outpatient Management of ED Patients with Pulmonary Embolism & NSAIDs and OACs in Atrial Fibrillation
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) trial ...
The post The Clot Thickens: Outpatient Management of ED Patients with Pulmonary Embolism & NSAIDs and OACs in Atrial Fibrillation appeared first on Healthy Debate.
35 min
December 11, 2018 The Polar Express: Sustained Hypothermia for Severe TBI & Low-Dose Theophylline for COPD
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 post The Polar Express: Sustained Hypothermia for Severe TBI & Low-Dose Theophylline for COPD appeared first on Healthy Debate.
34 min
December 07, 2018 The Polar Express: Sustained Hypothermia for Severe TBI & Low-Dose Theophylline for COPD
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 in young individuals. Almost half of patients with a Glasgow Coma Scale (GCS) of less than 8 will have an unfavourable outcome including death, severe disability, or persistent vegetative state. Alex tells listeners about the POLAR trial, which compares the use of early prophylactic hypothermia versus the current gold standard, normothermia, in managing patients after severe traumatic brain injury. Neurologic outcomes 6 months after injury were compared between the groups.
Higher doses of theophylline were used in the past for bronchodilatory effect; however, this was associated with side effects. Preclinical investigations have suggested potential anti-inflammatory effects of theophylline at lower doses. Freddy discusses the TWICS trial, in which patients with COPD treated with inhaled corticosteroids were either given low-dose theophylline or placebo. The number of exacerbations were compared between the groups.
Finally, the Good Stuff segment. Parental concerns frequently arise as children ingest various toy objects; Freddy outlines a study of the transit time of a Lego figurine. Alex tells listeners the story of an F-16 fighter jet used to transport an ECMO machine 280 miles to save a patient’s life.
Like what you hear? Rate us on iTunes! Chat with us on Twitter at @roundstable and tweet at Freddy Frost @Freddy_Frost1 and Alex Pickard @apickard99.
Interested in helping us evaluate our podcast episodes? We’re currently recruiting a panel of residents to serve as regular reviewers for the show. If you’re interested, email [email protected].
The Papers
1. Statins: https://www.bmj.com/content/362/bmj.k3359
2. Nosocomial Infections: https://www.nejm.org/doi/full/10.1056/NEJMoa1801550
Good Stuff
1. Dr. Death: https://wondery.com/shows/dr-death/ and https://itunes.apple.com/us/podcast/id1421573955
2. Good Genes:https://www.wired.com/story/the-key-to-a-long-life-has-little-to-do-with-good-genes/
Music Credits
The Rounds Table Theme Music by Brendan Quinn, Creative Director and Composer, Vapor RMW
34 min

About The Rounds Table

From the publisher's feed

The Rounds Table is a free recurring medical podcast covering the latest and most important research from major medical journals. It is intended for all practicing healthcare professionals and aims…