Living the Bougie Life: Coronary CT Angiography and Risk of MI & First-Attempt Intubation Success

Jonathan Gravel, family medicine resident at the University of Toronto, and Maaike deVries, PhD candidate in health services research at the University of Toronto, host this week’s episode of The Rounds Table.  They review two articles: the first on coronary computed tomography angiography (CTA) and the 5-year risk of myocardial infarction, and the second on first-attempt intubation success with bougie versus endotracheal tube and stylet.

Maaike reviews an article from the SCOT-HEART trial which investigates the use of CTA to assess patients with stable chest pain.  The article compares CTA in addition to standard care in patients with stable chest pain and evaluates the combined rate of death from coronary artery disease and non-fatal myocardial infarction in a 5-year period compared to standard care alone.

First-attempt intubation success is associated with a reduction in related adverse events.  Jon tells listeners about a trial comparing the effect of using a bougie, versus an endotracheal tube and stylet on first-attempt intubation success among patients with difficult airways undergoing emergency intubation.

Finally, the Good Stuff segment.  Maaike covers a CMAJ article on how predatory journals leak into PubMed and how to recognize and prevent this, and Jon covers lessons that can be learned from the health care system in Canada.

Like what you hear?  Rate us on iTunes!  Chat with us on Twitter at @roundstable and tweet at Jon Gravel @gravel_jon and Maaike deVries @deVriesMaaike.

Interested in helping us evaluate our podcast episodes? We’re currently recruiting a panel of residents to serve as regular reviewers for the show. If you’re interested, email wkwong@qmed.ca.

The Papers

1. CTA: https://www.nejm.org/doi/full/10.1056/NEJMoa1805971

2. Intubation Success: https://jamanetwork.com/journals/jama/article-abstract/2681717

Good Stuff

1. Predatory Journals:http://www.cmaj.ca/content/190/35/E1042

2. Single-Payer Health Insurance: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2695512

Music Credits

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

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