The Rounds Table

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This week on The Rounds Table Kieran and Mike are back with another rapid fire episode: just the salient points from four articles instead of two. Guidelines recommend the use of hydrocortisone in patients with septic shock if adequate fluid resuscitation and treatment with vasopressors does not restore hemodynamic stability; however, current guidelines classify this ...

The post More or Less: Sepsis, Shock, Stroke, and Staying Dry in Heart Failure appeared first on Healthy Debate.

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This week on The Rounds Table we are examining two important studies: the first looking at an association between wait times for hip fracture surgery and mortality, and the second examining clinician denials of patient requests. Hip fractures are a relatively common injury among our aging population. As our elderly population increases, hip fractures are ...

The post Too Much to Ask? Wait Times for Hip Fracture Surgery and Clinician Denials of Patient Requests appeared first on Healthy Debate.

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This week on The Rounds Table we are covering two important articles: the first examining combination opioids versus non-opiods for acute pain, and the second examining the use of edoxaban to treat cancer-associated venous thromboembolism (VTE). Kieran Quinn and Paxton Bach break it down for listeners. Opioid addiction is arguably the biggest epidemic of our ...

The post Choosing the Right Drug: Non-Opioids for Acute Pain & Edoxaban for Venous Thromboembolism appeared first on Healthy Debate.

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This week on The Rounds Table we are trying something different as our first new episode of 2018: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Mike and Kieran break it down for listeners. Novel oral anticoagulants (NOACs) are everywhere, and they can put patients at ...

The post Fire Away! Choosing the Right NOAC & How Physician Training Affects Patient Outcomes appeared first on Healthy Debate.

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What’s healthier, a diet high in fat or high in carbohydrates? How can the HEART score be used to stratify patients who present to the Emergency Department with chest pain? Kieran Quinn and Ashley Minuk cover the answers from the findings of two exciting new articles. With the growing burden of cardiovascular and diet related ...

The post REPLAY: PURE at HEART – Fats vs. Carbohydrates as Risk Factors for Mortality and Stratifying Chest Pain in the Emergency Department appeared first on Healthy Debate.

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This week on The Rounds Table we’re covering important studies on two very common diseases: osteoporosis and heart failure. Kieran and Laura break it down for listeners. Osteoporosis affects women worldwide, and will become more common because of our aging population. Although several pharmacologic treatments exist to treat the disease, few head to head studies ...

The post REPLAY: Don’t Go Breaking My Heart – Romosozumab for Osteoporosis and Early Palliative Care in Heart Failure appeared first on Healthy Debate.

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This week on The Rounds Table we’re covering important studies in palliative care: treatment of delirium at end-of-life, and examining populations who may be more likely than others to receive aggressive end-of-life care. Kieran and Chris Yarnell break it down for listeners. Sheliza and Emily round out the episode with a special segment on qualitative ...

The post REPLAY: To Treat or Not To Treat? Immigrant Status and End-of-Life & Delirium Treatment in Palliative Care appeared first on Healthy Debate.

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This week on The Rounds Table we are covering two important research articles: prevention of contrast induced nephropathy, and comparing post-operative outcomes between patients treated by male and female surgeons. Contrast induced nephropathy (CIN) is a potentially severe complication of angiographic procedures, especially for people with poor renal function at the outset. Prevention of CIN ...

The post Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on Post-Operative Outcomes appeared first on Healthy Debate.

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This week on The Rounds Table we’re looking at the big picture: the effect of bedspacing on mortality and factors associated with increased healthcare spending. Laura and Kieran cover two new articles. Bedspacing is something that everyone in Internal Medicine encounters at some point. The concept is really this: when General Internal Medicine wards become ...

The post Dollar Dreams: Bedspacing, Mortality, and Epic Healthcare Costs appeared first on Healthy Debate.

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On this week’s episode of The Rounds Table we’re honing in on important advances in cardiovascular disease management. Kieran Quinn and Paxton Bach guide listeners through the ORBITA and INPRESS trials. It’s one of those deceptively simple sounding questions in cardiology: who should we stent? Although PCI has been around for 40 years, we are ...

The post Get Pumped: Perioperative Blood Pressure Targets & When to Stent Coronary Artery Disease appeared first on Healthy Debate.