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June 25th, 2014

Podcast 171: PTSD treatment effects remain largely unmeasured by the military and the VA

(No Ratings Yet)

Running time: 10 minutes

The Institute of Medicine’s report on treatment for post-traumatic stress disorder finds that active military and veterans with PTSD aren’t always getting evidence-based treatments. And when those treatments are used, they’re too often not used according to protocols and the results aren’t measured. The upshot? The agencies with responsibility for treating PTSD don’t know whether they’re doing their patients any good.

Institute of Medicine report on PTSD (free)

 

June 5th, 2014

Podcast 170 — An emergency physician has the tables turned on her and returns with lessons for all clinicians

(11 votes, average: 3.55 out of 5)

Dr. Charlotte Yeh was crossing the street in Washington, D.C., on her way to dinner when a car hit her.

She ended up in a Level I trauma center, and the experience was sobering for its reminder that in our drive to measure quality indicators, the patient may end up ignored or forgotten.

Running Time: 10 minutes

A link to her essay in Health Affairs

November 12th, 2013

Podcast 169: New guidelines on cardiovascular disease prevention

(12 votes, average: 2.92 out of 5)

 Running time: 11 minutes

The American Heart Association/American College of Cardiology have released four sets of guidelines — all aimed at the lowering of risk for atherosclerotic cardiovascular disease. For perspective, we’ve asked Harlan Krumholz, editor-in-chief of NEJM Journal Watch Cardiology and CardioExchange to chat.

Links:

Risk calculator (free)

CardioExchange (free)

Circulation homepage

New York Times piece by Krumholz on the guidelines (free)

September 25th, 2013

Podcast 168: The Camden Coalition’s work on alleviating the discontinuity of medical care

(3 votes, average: 3.67 out of 5)

Running time: 10 minutes

The Camden Coalition of Healthcare Providers formed about 10 years ago as a quarterly breakfast club of primary-care providers who were frustrated in their attempts to bring care to comprehensive care to their patients in Camden, N.J.

The Coalition’s found and executive director, Dr. Jeffrey Brenner (himself a family physician) has just been awarded a MacArthur Foundation fellowship, and so we caught up with him for a quick chat.

Link:

The coalition’s website

September 14th, 2013

Podcast 167 — The polypill: adherence at last?

(3 votes, average: 3.00 out of 5)

Running time: 7 min

The recent JAMA article examining the effects of the “polypill” on adherence and clinical benefits in patients with (or at high risk for) cardiovascular disease, is our topic. The polypill in this trial contained fixed doses of four separate drugs: aspirin, a statin, lisinopril and one other blood-pressure-lowering drug — either atenolol or hydrochlorothiazide.

Adherence among patients on the polypill was 20 percentage points higher than among those following regular multi-pill regimens. It was even higher — by some 40 percentage points — among those least adherent to their regimens at the start of the 15-month trial.

Dr. Anthony Rodgers of the University of Sydney — the paper’s senior author — talks with us about the trial.

Links:

Physician’s First Watch coverage of the trial (free)

JAMA article (free)

August 21st, 2013

Podcast 166: Delirium and intensive care

(4 votes, average: 4.25 out of 5)

Running time: 19:45

This week’s guest is Yoanna Skrobik, a Montreal intensivist and author of an intriguing commentary on a Lancet Respiratory Medicine paper on the (non)effect of haloperidol in influencing the incidence or length of delirium/coma in critically ill patients.

Physician’s First Watch coverage of the Lancet articles

Nurse-facilitated family participation

Early physical/occupational therapy in mechanically ventilated patients

Clinical Conversations

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