The Rounds Table

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This week’s episode is jam-packed with critical care medicine. What is the effect of conservative versus conventional oxygen therapy on mortality in patients in the ICU? Hydrocortisone on development of septic shock? Kieran and Laura take listeners through two important studies examining these questions. Prior research suggested excessive oxygenation in patients admitted to the ICU ...

The post When Care is Critical: Conservative vs Conventional Oxygen Treatment in the ICU and the Effect of Hydrocortisone on the Development of Septic Shock appeared first on Healthy Debate.

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It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of ...

The post DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias appeared first on Healthy Debate.

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Dr. Fraser Pollard, Family Physician in Trenton ON, discusses his frustration with the lack of effective treatments for osteoarthritis for long-term pain and disability in his patients. But there is hope! Fraser dips his toes into critically examining alternative medicine in leading listeners through a single blinded comparative effectiveness trial of Tai Chi versus physiotherapy ...

The post Smoke & Mirrors? Tai Chi vs. Physiotherapy for Knee Osteoarthritis & Symptoms in Smokers with Preserved Pulmonary Function appeared first on Healthy Debate.

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It’s so hot you can barely touch it – the PESIT study! So what’s the buzz all about? Pulmonary embolism is one of those dreaded diagnoses – it can be life-threatening, but often elusive in its diagnosis since so many other conditions cause similar symptoms. Kieran takes listeners through the multi-centre cross sectional PESIT study ...

The post PESIT and PATCH it! – Plugging ICH with platelets and quantifying the prevalence of PE in syncope appeared first on Healthy Debate.

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Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review ...

The post We Need to Talk About It: Physician Burnout and Sex Differences in Salary appeared first on Healthy Debate.

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Ever wondered about when to mechanically ventilate patients with dementia in the ICU? Or how hospital quality predicts survival post MI? Tune in this week as Dr. Laura Walker, Chief Medical Resident at St. Michael’s Hospital, and Kieran discuss two intriguing studies!  The prevalence of dementia is steadily rising across North America. Among hospitalized nursing ...

The post If you build it, they will come! – ICU beds, dementia and quality of care in MI outcomes appeared first on Healthy Debate.

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We’re back this week with Kieran and Ashley to take another look at diabetes and sweet treats. Should current practice guidelines be taken with a grain of salt – or should I say – sugar? Listen to find out! New drugs have popped up on the market for diabetes management, necessitating an update to practice ...

The post Testing and Treatment in Diabetes – Taken with a Grain of Sugar! appeared first on Healthy Debate.

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  A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT ...

The post Aging gracefully – SPRINTing to the right blood pressure target! appeared first on Healthy Debate.

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  This week’s Rounds Table is all about studying studies, emphasizing the importance of understanding a body of evidence within the context of existing literature. A refreshing reminder that the “big picture” in medical research can be easy to lose sight of when keeping up to date with individual trials! Dr. Ashley Minuk, Family Physician ...

The post The Bigger Picture: Industry Sponsored Research and Negative Trials appeared first on Healthy Debate.

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  Is October making you overtired and moody? Tune in this week as Dr. Paxton Bach, resident in General Internal Medicine at UBC, and Kieran discuss two tantalizing studies! The SAVE Clinical Trial is the largest ever to study the effect of CPAP on prevention of cardiovascular outcomes and death in patients with obstructive sleep ...

The post Moody & unSAVEd – CPAP for Prevention of Cardiovascular Endpoints in OSA and SSRI Treatment of Depression in Heart Failure appeared first on Healthy Debate.