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Episode 465: COPD inhalers – the evidence leaves you gasping for breath

In episode 465, Mike and James invite Jamie Falk to go over all the data we have for the plethora of inhalers and COPD. We start with what we know about single puffers, how we decide whom to treat, and then when to try dual inhalers.

Show notes 

1) COPD handout

2) Should the number of acute exacerbations in the previous year be used to guide treatments in COPD?

European Respiratory Journal 2020; DOI: 10.1183/13993003.02122-2020

Episode 464: PREMIUM – 4 new publications that should change your practice

In episode 464, Mike and James and talk about 4 recent publications that should likely impact you practice if not today, then tomorrow. We talk about how long to give narcotics for acute MSK injuries, how to treat dyslipidemias, a non-steroid cream for psoriasis and a single dose of antibiotics for operative vaginal delivery.

Show notes 

1) Predictors of Prolonged Opioid Use After Initial Prescription for Acute Musculoskeletal Injuries in Adults: A Systematic Review and Meta-analysis of Observational Studies

Ann Intern Med. doi:10.7326/M19-3600

2) Management of Dyslipidemia for Cardiovascular Disease Risk Reduction: Synopsis of the 2020 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline

Ann Intern Med. doi:10.7326/M20-4648

3) Trial of Roflumilast Cream for Chronic Plaque Psoriasis

N Engl J Med 2020;383:229-39

4) Prophylactic antibiotics in the prevention of infection after operative vaginal delivery (ANODE): a multicentre randomised controlled trial

Lancet 2019;393:2395

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