PODCAST

The Rounds Table

Dr. John Fralick and Dr. Michael Fralick

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 to to help them keep up to date in the care of their patients.

science life sciences

All Episodes

Fire It Up: Delayed tPA, Lipids and Cardiovascular...

The Rounds Table ·

2019/06/14

Michael Fralick and John Fralick, general internists in Toronto, are back on The Rounds Table and they are covering four articles in a rapid-fire style. They discuss the use of tissue plasminogen activator (tPA) up to 9 hours after stroke onset, nonfasting versus fasting lipids and cardiovascular outcomes, the use of dabigatran for stroke prevention, ... The post Fire It Up: Delayed tPA, Lipids and Cardiovascular Outcomes, Stroke Prevention, and Fournier’s Gangrene with SGLT2 Inhibitors appeared

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Slow Motion: Magnesium in Afib and Fall-Related...

The Rounds Table ·

2019/06/07

Christopher Giuliano, clinical pharmacist, is hosting this week’s episode of The Rounds Table alongside Insaf Mohamad, ambulatory care clinical pharmacist in Internal Medicine. Together they are covering treatment of atrial fibrillation with rapid ventricular response with magnesium and falls risk with trazadone and benzodiazepines in patients with insomnia. Atrial fibrillation is the most common cardiac ... The post Slow Motion: Magnesium in Afib and Fall-Related Injuries with Sleep Aids appeared

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A Shock to The Heart: Risk Factors and Cardiovascular...

The Rounds Table ·

2019/05/31

Andre Maddison, General Internal Medicine (GIM) fellow at Western University, is hosting this week’s episode on The Rounds Table alongside his wife, Emily Wilson, family physician in London and adjunct professor at Western University. Together they are covering risk factors, death, and cardiovascular events in patients with type 2 diabetes mellitus (T2DM) and early or delayed ... The post A Shock to The Heart: Risk Factors and Cardiovascular Events in T2DM and Cardioversion in AFib appeared first on

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A Total Eclipse: Treatment of Status Epilepticus and...

The Rounds Table ·

2019/05/24

Freddy Frost, research fellow in cystic fibrosis in Liverpool, and Alex Pickard, trainee in acute and emergency medicine in South London, are back on The Rounds Table this week. They are covering treatment of paediatric convulsive status epilepticus and the effect of aclidinium bromide on cardiovascular events and exacerbations in patients with chronic obstructive pulmonary disease ... The post A Total Eclipse: Treatment of Status Epilepticus and Aclidinium Bromide in COPD appeared first on Healthy

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Infectious Love: Coronary Angiography in...

The Rounds Table ·

2019/05/17

Jonathan Gravel, family medicine resident at the University of Toronto and soon-to-be emergency medicine resident, is joined by Max Deschner, a resident in Internal Medicine at Western University. Together they are covering coronary angiography after cardiac arrest without ST-elevation (COACT trial) and the risk of HIV transmission through condomless sex in serodifferent gay couples. Ischemic ... The post Infectious Love: Coronary Angiography in Out-of-Hospital Cardiac Arrest and Risk of HIV

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Sugar and Spice: Canagliflozin and Renal Outcomes and...

The Rounds Table ·

2019/05/10

Kieran Quinn, general internist and palliative care physician in Toronto, is joined by Emily Hughes, the producer of the show and soon-to-be Internal Medicine resident at the University of Toronto on this week’s episode of The Rounds Table! Together they are covering canagliflozin and renal outcomes, and quality of life among patients with atrial fibrillation receiving ... The post Sugar and Spice: Canagliflozin and Renal Outcomes and Quality of Life in Atrial Fibrillation appeared first on

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REPLAY: Are Your Vitamins Vital? Cardiorespiratory...

The Rounds Table ·

2019/05/03

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 REPLAY: Are Your Vitamins Vital? Cardiorespiratory Fitness on Mortality and Vitamin Supplementation for Prevention of Cancer and

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Left my Heart in CABANA: TAVRs, Atrial Fibrillation,...

The Rounds Table ·

2019/04/26

Michael Fralick and John Fralick, both general internists in Toronto, are on The Rounds Table this week. In classic fashion, they are covering four articles in a rapid-fire style. They discuss transcatheter aortic valve replacement (TAVR) in low surgical risk patients, antiplatelet and anticoagulants in atrial fibrillation (AF) and acute coronary syndrome (ACS) with percutaneous ... The post Left my Heart in CABANA: TAVRs, Atrial Fibrillation, and Acute Coronary Syndrome appeared first on Healthy

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Catch Your Breath: Bag-Mask Ventilation During...

The Rounds Table ·

2019/04/19

Paxton Bach and Katie Wiskar, general internists in Vancouver, are back this week on The Rounds Table. Together they cover bag-mask ventilation during intubation of adults in intensive care units, and liberal versus conservative oxygen therapy in acutely ill adult patients. In the non-operating room setting, some recommendations regarding rapid-sequence intubation suggest avoiding bag-mask ventilation ... The post Catch Your Breath: Bag-Mask Ventilation During Intubation & Liberal Oxygen

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There Is No Comparison: Peri-Procedural Bridging in...

The Rounds Table ·

2019/04/12

Christopher Giuliano and Sean McConachie, both Internal Medicine clinical pharmacists, host this week’s episode on The Rounds Table. This week they share articles on peri-procedural bridging in patients with venous thromboembolism and the reversal of factor Xa inhibitors with andexanet alfa. Bridging is commonly performed for interruption of vitamin K antagonists in the peri-procedural setting. ... The post There Is No Comparison: Peri-Procedural Bridging in VTE and Reversal of Factor Xa

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Get Up & Go: Exercise Interventions for Functional...

The Rounds Table ·

2019/04/05

Andre Maddison, fellow in general internal medicine at Western University, is hosting this week’s episode on The Rounds Table alongside Erin Spicer, general internist also at Western University. Together they are covering the effect of an exercise intervention on functional decline in very elderly patients and the mortality benefit associated with outpatient nephrology referrals in ... The post Get Up & Go: Exercise Interventions for Functional Decline and Nephrology Referrals for CKD appeared

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Sugar Crash: Oral Basal Insulin Versus Subcutaneous...

The Rounds Table ·

2019/03/29

Jonathan Gravel, epidemiologist and family medicine resident at the University of Toronto, is hosting this week’s episode of The Rounds Table alongside Bradley Kaplansky, academic primary care physician in Toronto and host of podcast Primary Care Spiel. This week they are covering the efficacy and safety of oral basal insulin versus subcutaneous insulin glargine in ... The post Sugar Crash: Oral Basal Insulin Versus Subcutaneous Glargine in T2DM & The Effect of Tranexamic Acid on Functional

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Bad to the Bone: Oral Antibiotics for Orthopedic...

The Rounds Table ·

2019/03/22

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

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Contamination & Communication: Postdischarge MRSA...

The Rounds Table ·

2019/03/15

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

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OPTICal Illusions: Apixaban for Prevention of VTE and...

The Rounds Table ·

2019/03/08

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

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Cracking Down: E-Cigarettes for Smoking Cessation and...

The Rounds Table ·

2019/03/01

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

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Pregnancy & Prescription Pads: Maternal Ondansetron...

The Rounds Table ·

2019/02/22

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

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Superbugs Going Superbad: Ceftazidime-Avibactam...

The Rounds Table ·

2019/02/15

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

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An Ounce of Prevention: Pantoprazole in the Intensive...

The Rounds Table ·

2019/02/08

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

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Mind Over Matter: Antipsychotics for Intensive Care...

The Rounds Table ·

2019/02/01

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

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The Rounds Table

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