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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

August 15th, 2013

Podcast 165: The Mediterranean diet’s salutary interaction with risk-conferring genes

(2 votes, average: 4.50 out of 5)

Running time: 14 minutes.

A study in Diabetes Care shows that people at higher genetic risk for diabetes and cardiovascular complications had a relatively lower stroke risk when they adhered to a Mediterranean diet. Dr. Jose Ordovas, the study’s senior author, is our guest for this discussion about the interaction between genes and diet — and its implications even for those without risky genetics.

Diabetes Care abstract (free)

Physician’s First Watch summary (free)

August 1st, 2013

Podcast 164: Talking about death

(3 votes, average: 2.67 out of 5)

Running time: 11 minutes

Last month John You and his colleagues published a guide to discussing advance care planning with patients at high risk of dying in the Canadian Medical Association Journal.

It’s full of practical advice, and I thought it would be interesting to get a sense of You’s approach to this difficult issue that all clinicians confront sooner or later.

Links:

Physician’s First Watch coverage of the CMAJ paper.

Link to the prognosis estimators.

June 14th, 2013

Podcast 163: Boston bombings – 4

(2 votes, average: 4.00 out of 5)

Dr. Brien Barnewolt of Tufts Medical Center shares his thoughts on the aftermath of the April 15 bombings at the Boston Marathon. Simple things matter in these circumstances, like wearing your ID badge.

Length: 9 minutes

May 21st, 2013

Podcast 162: Boston bombings lessons part 3

(4 votes, average: 4.25 out of 5)

Andrew Ulrich, executive vice chair of Boston Medical Center’s emergency department and an associate professor of emergency medicine at Boston University School of Medicine talks about the day and its lessons. He was just starting his shift when victims began arriving.

We’ll continue our explorations of the bombings, trying at least to salvage some lessons. If you have suggestions for the series — or thoughts on Clinical Conversations — please share them via the “add a comment” link below.

Joe Elia

Last week’s conversation with Alasdair Conn

May 14th, 2013

Podcast 161: Boston bombings’ lessons part two

(5 votes, average: 4.60 out of 5)

Alasdair Conn, chief of emergency services at Massachusetts General Hospital and an associate professor of surgery at Harvard Medical School continues our series on the aftermath of the Boston Marathon bombings.

Thank you for listening. Do let us know what you think.

Joe Elia

Links:

Dr. Conn’s essay in the Annals of Internal Medicine

Last week’s conversation with Dr. Ron Walls

 

Clinical Conversations

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