Monthly Archives: January 2019
Mostly Sunny today! – Jean-Francois Hibbert
PM Snow Showers/Wind today! – Jean-Francois Hibbert
Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary
Jean-Francois Hibbert recommends
Best evidence topic reports (BETs) summarise the evidence pertaining to particular clinical questions. They are not systematic reviews, but rather contain the best (highest level) evidence that can be practically obtained by busy practising clinicians. The search strategies used to find the best evidence are reported in detail in order to allow clinicians to update searches whenever necessary. Each BET is based on a clinical scenario and ends with a clinical bottom line which indicates, in the light of the evidence found, what the reporting clinician would do if faced with the same scenario again.
The BETs published below were first reported at the Critical Appraisal Journal Club at the Manchester Royal Infirmary1 or placed on the BestBETs website. Each BET has been constructed in the four stages that have been described elsewhere.2 The BETs shown here together with those published previously and those currently…
from Emergency Medicine Journal Best evidence topic reports http://bit.ly/2DGkclv
Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary
Jean-Francois Hibbert recommends
Best evidence topic reports (BETs) summarise the evidence pertaining to particular clinical questions. They are not systematic reviews, but rather contain the best (highest level) evidence that can be practically obtained by busy practising clinicians. The search strategies used to find the best evidence are reported in detail in order to allow clinicians to update searches whenever necessary. Each BET is based on a clinical scenario and ends with a clinical bottom line which indicates, in the light of the evidence found, what the reporting clinician would do if faced with the same scenario again.
The BETs published below were first reported at the Critical Appraisal Journal Club at the Manchester Royal Infirmary1 or placed on the BestBETs website. Each BET has been constructed in the four stages that have been described elsewhere.2 The BETs shown here together with those published previously and those currently…
from Emergency Medicine Journal Best evidence topic reports http://bit.ly/2DGkclv
Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary
Jean-Francois Hibbert recommends
Best evidence topic reports (BETs) summarise the evidence pertaining to particular clinical questions. They are not systematic reviews, but rather contain the best (highest level) evidence that can be practically obtained by busy practising clinicians. The search strategies used to find the best evidence are reported in detail in order to allow clinicians to update searches whenever necessary. Each BET is based on a clinical scenario and ends with a clinical bottom line which indicates, in the light of the evidence found, what the reporting clinician would do if faced with the same scenario again.
The BETs published below were first reported at the Critical Appraisal Journal Club at the Manchester Royal Infirmary1 or placed on the BestBETs website. Each BET has been constructed in the four stages that have been described elsewhere.2 The BETs shown here together with those published previously and those currently…
from Emergency Medicine Journal Best evidence topic reports http://bit.ly/2DGkclv
BET 1: Follow-up phone calls and compliance with discharge instructions in elderly patients discharged from the emergency department
Jean-Francois Hibbert recommends
A short-cut review was carried out to establish whether follow-up phone calls improved compliance with follow-up and discharge instructions given to the elderly on discharge from the emergency department. 211 papers were found using the reported searches, of which 5 presented the best available evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that telephone follow-up can identify non-compliance with discharge instructions in the elderly, but there is currently no evidence to show that it actually improves it
from Emergency Medicine Journal Best evidence topic reports http://bit.ly/2DG1kmB
BET 2: Safety and efficacy of low-dose ketamine versus opioids for acute pain management in the ED
Jean-Francois Hibbert recommends
A short cut review was carried out to establish whether low-dose ketamine is a safe and effective alternative to opioids in ED patients in acute severe pain. 76 papers were found using the reported searches, of which seven presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that low-dose ketamine can be an effective and safe alternative to opioids in acute pain management.
from Emergency Medicine Journal Best evidence topic reports http://bit.ly/2UqFnO5