Rapid Fire to Keep the Blood Pumping – BP Management, Lung Cancer Screening, and Intubation During Cardiac Arrest


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This week on The Rounds Table we are trying something a little different: just the salient points from FOUR articles instead of two! Same time spent listening, twice the take-away! Dr. Michael Fralick, general internist at St. Michael’s Hospital, takes the lead on this rapid fire approach.

Even in the post-SPRINT era optimal BP targets are uncertain. A systematic review and meta-analysis examines the benefits and harms of intensive blood pressure control in patients over the age of 60.

Next, a cohort study examines the effect of combination therapy on adherence among patients initiating therapy for hypertension. Are patients more likely to take a single combination pill compared to multiple individual pills? Listen to find out!

What happens when a lung cancer screening program is launched in the real world? The third study examines the results of the implementation of lung cancer screening in the Veterans Health Administration.

Finally, a retrospective observational cohort study examines the relationship between tracheal intubation during adult in-hospital cardiac arrest and survival to hospital discharge.

What do you think of the Rapid Fire format? Let us know on Twitter @roundstable and tweet at Kieran directly @kieranlquinn and Mike @FralickMike.

The Papers

1. BP Targets in Older Adults: http://sbgg.org.br/informativos/23-02-17/3_Benefits_and_Harms_of_Intensive_Blood_Pressure_Treatment.pdf

2. Combo Therapy for HTN: https://www.ncbi.nlm.nih.gov/labs/articles/28050754/

3. VHA Lung Cancer Screening: http://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2599437

4. Intubation and Survival: http://insanemedicine.com/wp-content/uploads/2017/02/Association-Between-Tracheal-Intubation-During-Adult-In-Hospital-Cardiac-Arrest-and-Survival.pdf

Additional Links

1. Screening CTs and Risks of Cancer: http://www.bmj.com/content/356/bmj.j347

Music Credits

The Rounds Table Theme Music by Brendan Quinn, Creative Director and Composer, Vapor RMW

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