I took a few months off. (Well, not so much off, but as stuck in other EBM rabbit holes.) I am sure some were happy for the empty inbox, but if you enjoy nerdy conversation about subpar medical research, this is your luck day.
decision rules
6 posts
Do you change your practice when new evidence is published? Will these articles change your practice? Will you read them? Does anyone read them? I don’t know, but here is another month of my reading summarized. For the regular readers, you will have noticed I have taken a few weeks […]
As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about. That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue […]
In order for a clinical decision rule to be valuable it must change clinical practice, and that change must improve patient care. When assessing decision rules we often get hung up on sensitivity and specificity, but sensitivity and specificity can be misleading. Many diagnostic tests look great on paper but […]
This evidence review is the handout for the talk I gave at the Emergency Medicine Cases Summit entitled “Decision rules are ruining medicine”. Clinical decision rules (CDRs) sort of suck There is a common assumption that clinical decision rules must improve decision making and clinical care. This is based on […]
Back again with an eclectic collection of papers that might improve your practice, make you think, or just help you fall asleep at night. (Podcast available here.)