Emily Hughes


Articles and Opinion Pieces by this author

Top Five – The Best of the Year

All good things must come to an end. As the final episode of the season, Kieran looks back at his top 5 favorite papers from The Rounds Table 2017-2018 year and shares updates for next season. It’s a rapid fire episode like you’ve never heard before! See the links to the papers below. We want…

Potion Commotion: Acute Kidney Injury with Combination Antibiotics and Comparing Pharmacotherapy for Migraine Management

This week The Rounds Table features another new host: Christopher Guiliano, clinical pharmacist at Wayne State University. Kieran and Chris cover acute kidney injury with combination antibiotics and managing migraines with prochlorperazine and diphenhydramine versus hydromorphone. Understanding the nephrotoxic consequences of prescribing antibiotics is critical for physicians. Chris takes listeners through a prospective evaluation of…

Drain or Retain? Talc Administration in Pleurodesis & Cardiovascular Risk Scores in the ED

This week The Rounds Table bridges the Atlantic. Kieran Quinn is joined by Freddy Frost from the University of Liverpool to cover talc administration by indwelling pleural catheter for pleurodesis and comparing cardiovascular risk scores in the Emergency Department. It’s not often that we see an interventional randomized controlled trial performed in a population with…

Call Me Maybe? Education Outcomes and Duty Hours & Physician Experience and Mortality

This week on the Rounds Table Kieran Quinn and Andrew Smaggus bring listeners up to date with the evidence on education outcomes in a duty-hour flexibility trial and the relationship between physician years of experience and mortality in hospitalized patients. The duty hour question is one important branch of the overall question of how to…

Feeling Salty? Normal Saline vs. Balanced Crystalloids & Quadrupling Asthma Medications

This week on The Rounds Table Kieran Quinn and Paxton Bach take listeners through articles covering new evidence on prescribing fluids to critically and non-critically ill patients as well as new evidence on increasing the dose of inhaled corticosteroids for asthma exacerbations. IV fluids are a staple of hospital medicine, almost all patients will receive…

Sugar Coating Diabetes Meds? Oral Antiglycemics and Diabetes Management, Rapid Fire

It’s diabetes week on The Rounds Table. Mike Fralick and Kieran Quinn are back with the latest evidence in another Rapid Fire episode: four articles covered instead of the usual two. Canagliflozin has an impressive cardiovascular benefit profile for patients with a high burden of cardiovascular disease, based on data from randomized control trials. Mike…

Just Breathe: Prevalence of PE in Syncope & Corticosteroids for Pneumonia

This week on The Rounds Table we are following up on the prevalence of PE in syncope and reviewing the evidence on corticosteroids for pneumonia. Ariel Lefkowitz and Kieran Quinn break down these two important articles for listeners. Do you routinely prescribe steroids in pneumonia? Ariel shares a Cochrane review which covers the literature to…

REPLAY: Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on Post-Operative Outcomes

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…

More or Less: Sepsis, Shock, Stroke, and Staying Dry in Heart Failure

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…

Choosing the Right Drug: Non-Opioids for Acute Pain & Edoxaban for Venous Thromboembolism

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…

Urine Luck! Renal Outcomes After Angiography, and Effects of Surgeon Sex on Post-Operative Outcomes

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…

Dollar Dreams: Bedspacing, Mortality, and Epic Healthcare Costs

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…

Get Pumped: Perioperative Blood Pressure Targets & When to Stent Coronary Artery Disease

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…

Go with the (Blood) Flow: Antithrombotic Therapy After PCI and De-Escalation of Antiplatelet Therapy After PCI

This week’s episode of The Rounds Table is all about anticoagulation. Kieran Quinn and Mike Fralick cover two important studies: the latest evidence on antithrombotic therapy after percutaneous coronary intervention (PCI) and de-escalation of antiplatelet treatment in patients with acute coronary syndrome undergoing PCI. In patients with acute coronary syndrome undergoing PCI, can platelet function…

Take My Breath Away: Challenging Asthma Diagnoses & Home Non-Invasive Ventilation in COPD

What if you could tell an adult with physician diagnosed asthma that they could safely stop their asthma medications? Or, tell an adult living with chronic obstructive pulmonary disease (COPD) that the addition of home non-invasive ventilation could significantly prolong their lifespan? This week on The Rounds Table Kieran and Ariel discuss two thought provoking…

CANVASsing for Healthy Hearts: Canakinumab for Atherosclerosis and Canaglifozin for Cardiovascular Risk Reduction

This week on The Rounds Table we’re deepening our understanding of cardiovascular disease management through covering two exciting new articles. Kieran and Paxton break it down for listeners. Last season we covered FOURIER/evolocumab and the reduction of cardiovascular events through aggressive lipid lowering with PCSK-9 inhibitors. Do treatments that target inflammation without affecting lipid levels…