REPLAY: Emergent Realizations – Contrast-Induced Nephropathy & Opioid Prescribing Patterns


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Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal relationship between contrast and the development of acute kidney injury.

SPECIAL SEGMENT: Marijuana use is on the rise in pregnant women to treat pregnancy-induced nausea. What do clinicians need to know? Sheliza and Emily cover the most important points in this special segment.

Next, Kieran leads the discussion on opioid prescribing patterns in physicians that work in the Emergency Department. Opioid abuse is a major public health problem in North America. One proposed driver the role of the prescriber in initiating therapy that transforms into long-term opioid therapy. Listen to find out the results of this shocking finding!

Finally, we’re answering interesting questions on this week’s Good Stuff segment! Where should AEDs be optimally placed to save lives in the event of cardiac arrest? Then, is there an optimal time of year to have a vasectomy?

Like what you hear? Rate us on iTunes! Chat with us on Twitter @roundstable and tweet at Kieran @kieranlquinn, Lauren @llacroix4, Sheliza @sheliza_halani, and Emily @emmy_hughes

The Papers

1. Contrast & AKI: http://www.annemergmed.com/article/S0196-0644(16)31388-9/abstract

2. Opiods in the ED: http://www.nejm.org/doi/full/10.1056/NEJMsa1610524?query=featured_home

3. Marijuana in Pregnancy:

http://jamanetwork.com/journals/jama/article-abstract/2594400

https://www.scholars.northwestern.edu/en/publications/treatment-options-for-hyperemesis-gravidarum

https://www.ncbi.nlm.nih.gov/labs/articles/27925865/

Good Stuff

1. Go Mad and get your March Madness Vasectomy!

http://www.npr.org/sections/health-shots/2017/03/24/521258200/march-madness-vasectomies-encourage-guys-to-take-one-for-the-team

2. Do your bank fees shock you? Maybe you’ll need a shock yourself!

CBC.ca/news/health/defibrillators-coffee-shops-abms-1.4033142

Music Credits

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

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