Michael
Some items that quickly come to mind for me:
The classic EBM example of flecainide/encainide reducing PVCs but
increasing mortality post-myocardial infarction
ACCORD/ADVANCE/VADT showing worse outcomes with getting HbA1c closer to
normal in patients with diabetes type 2
NSAIDs for tendinopathies (because we call them tendonitis)
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-----Original Message-----
From: Evidence based health (EBH)
[mailto:[log in to unmask]] On Behalf Of Eddy Lang
Sent: Wednesday, January 14, 2009 8:06 AM
To: [log in to unmask]
Subject: Re: Evidence that common sense can be dangerous
Great idea, would love to see this list.
A classic from the world of trauma and emergency medicine are Military
Anti-Shock Trousers / Pneumatic Anti-Shock Garments, also known as MAST
pants. These devices are placed on the lower extremity and torso of
bleeding hypotensive trauma victims in an effort to control bleeding and
send blood centrally. Unfortunately they don't seem to work.
http://www.cochrane.org/reviews/en/ab001856.html
Eddy Lang MDCM CCFPEM) CSPQ
Assistant Professor, Attending Staff
SMBD Jewish General Hospital
McGill University
----- Original Message -----
From: "Michael Power" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, January 14, 2009 7:40 AM
Subject: Evidence that common sense can be dangerous
A little while ago, Richard Lehman said in his weekly review, and in his
inimitable way: "Not very long ago, I could confidently assert that the
best
way to manage atrial fibrillation was to stop the atrium fibrillating.
Obvious,
isn't it? And, like so many obvious ideas in medicine, wrong."
I would like to build a list of obvious ideas in medicine that have been
dangerous; for example, advice to put babies to sleep on their tummies.
Suggestions (preferably with references!!) for my list would be much
appreciated.
Thanks very much.
Michael Power
Clinical Knowledge Author, Guideline Developer and Informatician
Clinical Knowledge Summaries www.cks.library.nhs.uk
----- Original Message -----
From: "Michael Power" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, January 14, 2009 7:40 AM
Subject: Evidence that common sense can be dangerous
A little while ago, Richard Lehman said in his weekly review, and in his
inimitable way: "Not very long ago, I could confidently assert that the
best
way to manage atrial fibrillation was to stop the atrium fibrillating.
Obvious,
isn't it? And, like so many obvious ideas in medicine, wrong."
I would like to build a list of obvious ideas in medicine that have been
dangerous; for example, advice to put babies to sleep on their tummies.
Suggestions (preferably with references!!) for my list would be much
appreciated.
Thanks very much.
Michael Power
Clinical Knowledge Author, Guideline Developer and Informatician
Clinical Knowledge Summaries www.cks.library.nhs.uk
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