| Title | Evidence-based evaluation of emergency care treatment algorithms: 15 dominant myths | ||
| Authors | Ch. Pourzitaki1, Th. Tzellos1, Ch. Sardeli1, G. Papazisis1, E. Amaniti2 and D. Kouvelas1
1. Department of Pharmacology and 2. Anesthesiology Clinic and ICU, AHEPA Hospital, School of Medicine, Aristotle University, Thessaloniki, Greece |
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| Citation | Pourzitaki, C., Tzellos, T., Sardeli, C., Papazisis, G., Amaniti, E. et al.: Evidence-based evaluation of emergency care treatment algorithms: 15 dominant myths, Epitheorese Klin. Farmakol. Farmakokinet. 22(2): 302-303 (2008) | ||
| Publication Date | 23-25 May 2008 | ||
| Full Text Language | English | ||
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| Keywords | Evidence-Based Medicine, Emergency Care, treatment algorithms, critically ill patients. | ||
| Other Terms | Review article | ||
| Summary | The management of patients using Evidence-Based Medicine (EBM) principles requires integrating best available clinical evidence with individual clinical expertise, as well as conscientious use of the above, before making decisions about the care of individual patients. Physicians involved in Emergency Care (EC) often use treatment algorithms believing it minimizes medical errors and leads to better management and quicker expedition of individual cases. The aim of this study was to evidence-based evaluate EC treatment algorithms for 15 common emergencies. In order to achieve this, we systematically searched EMBASE, Pubmed, Scopus and Cochrane Database using the following search terms: hypoxic encephalopathy, acute bronchiolitis, status asthmaticus, anaphylaxia, acute ischemic stroke, acute traumatic brain injury, preeclampsia, cardiac arrest, atrial fibrillation, supraventricular tachycardia, status epilepticus, and coma. Multiple inconsistencies between daily clinical practice and best available clinical evidence were revealed. This systematic review emphasizes the need for using EBM principles in daily clinical practice, in order to avoid medical errors and use of empirical guidelines. | ||
| References | 1. Jacobs S., Hunt R., Tarnow-Mordi W., Inder T., Davis P.: Cooling for newborns with hypoxic ischaemic encephalopathy. Cochrane Database of Systematic Reviews (2007)
2. Patel H., Platt R., Lozano J.M., Wang E.E.L.: Glucocorticoids for acute viral bronchiolitis in infants and young children. Cochrane Database of Systematic Reviews (2004) 3. Parameswaran K., Belda J., Rowe B.H.: Addition of intravenous aminophylline to beta2-agonists in adults with acute asthma. Cochrane Database of Systematic Reviews (2005) 4. Sheikh A., ten Broek V.M., Brown S.G.A., Simons F.E.R.: H1-antihistamines for the treatment of anaphylaxis with and without shock. Cochrane Database of Systematic Reviews (2007) 5. Bereczki D., Liu M., do Prado G.F., Fekete I.: Mannitol for acute stroke. Cochrane Database of Systematic Re-views (2007) 6. Ricci S., Celani M.G., Cantisani A.T., Righetti E.: Piracetam for acute ischaemic stroke. Cochrane Database of Systematic Reviews (2006) 7. Langham J., Goldfrad C., Teasdale G., Shaw D., Rowan K.: Calcium channel blockers for acute traumatic brain injury. Cochrane Database of Systematic Reviews (2003) 8. Alderson P., Gadkary C., Signorini D.F.: Therapeutic hypothermia for head injury. Cochrane Database of Systematic Reviews (2004) 9. Perel P., Roberts I.: Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database of Systematic Reviews (2007) 10. Churchill D., Beevers G.D.G., Meher S., Rhodes C.: Diuretics for preventing pre-eclampsia. Cochrane Database of Systematic Reviews (2007) 11. Nolan J.P., Hazinski M.F., Steen P.A., Becker L.B.: Controversial topics from the 2005 International Consensus Conference on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation 67: 175-179 (2005) 12. Cordina J., Mead G.: Pharmacological cardioversion for atrial fibrillation and flutter. Cochrane Database of Systematic Reviews (2005) 13. Holdgate A., Foo A.: Adenosine versus intravenous calcium channel antagonists for the treatment of supraventricular tachycardia in adults. Cochrane Database of Systematic Reviews (2006) 14. Prasad K., Al-Roomi K., Krishnan P.R., Sequeira R.: Anticonvulsant therapy for status epilepticus. Cochrane Database of Systematic Reviews (2005) 15. Bledsoe B.E.: No more coma cocktails. Using science to dispel myths & improve patient care. JEMS. 27: 54-60 (2002)
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| Relative Papers | |||
Online ISSN 1011-6575
Άρθρα Δημοσιευμένα σε αυτό το Περιοδικό Καταχωρούνται στα:
- Chemical Abstracts
- Elsevier’s Bibliographic Databases: Scopus, EMBASE, EMBiology, Elsevier BIOBASE SCImago Journal and Country Rank Factor
Articles published in this Journal are Indexed or Abstracted in: • Chemical Abstracts • Elsevier’s Bibliographic Databases: Scopus, EMBASE, EMBiology, Elsevier BIOBASE SCImago Journal and Country Rank Factor
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