"Abscence of evidence is not evidence of abscence of effect."
Kind of sums up a lot of what we do in medicine really. Even as someone who
has professed to try and practice ebm the sad truth is that for many of the
things we do the level of evidence is low, often anecdotal. However, even
anecdotal evidence is something. Until such time as the trial are done (and
in many cases they never will be) it is clinical judgement that determine
the treatment options.
Simon Carley
Anaesthetics / Intensive Care
Stepping Hill Hospital
Stockport
England
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> From: John Apps <[log in to unmask]>
> To: INTERNET:[log in to unmask]
> Subject: Re: Christmas Turkeys
> Date: 25 September 1998 20:08
>
> I see this weeks BMJ (P871) perpetuates the myth that high O2
> concentrations should not be used in COPD patients with an 'acute
> situation'. The authors also state that some GPs carry small O2 cylinders
> that deliver 2 litres per minute! I suppose that might be true of a small
> number of GPs, but not most.
>
> I like my tubigrip too. Quadruple tubigrip prevented me developing a
> haemarthrosis from torn cruciates on one of my expeditions!
>
> There is so little quality evidence around for the things we do daily!
>
> John Apps
> BASICS North East
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