Evidence-based emergency medicine at the 'coal face'.
While evidence-based medicine may be trumpeted by zealots, managers and politicians, incorporating it into clinical practice is easier said than done. The present article aims to show that it can be achieved and gives some clinical examples to illustrate this. An appendix contains a summary of useful databases and websites for accessing good medical information and evidence, quickly and reliably near the bedside.
Than
Martin
M
Clinical Decision Support Unit and Centre for Evidence-Based Health Care, Christchurch, New Zealand. martin.than@cdhb.govt.nz
Bidwell
Susan
S
Davison
Carol
C
Phibbs
Rebecca
R
Walker
Marg
M
D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D002637:Chest Pain / Q000175:diagnosis / Q000378:metabolism; D003078:Colchicine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004635:Emergency Medicine / Q000379:methods*; D019317:Evidence-Based Medicine / Q000379:methods*; D005260:Female; D020441:Ginkgo biloba; D006074:Gout Suppressants / Q000627:therapeutic use; D006562:Herpes Zoster / Q000188:drug therapy; D006801:Humans; D008297:Male; D008881:Migraine Disorders / Q000188:drug therapy; D009203:Myocardial Infarction / Q000175:diagnosis / Q000378:metabolism; D010493:Pericarditis / Q000188:drug therapy; D008517:Phytotherapy / Q000379:methods; D028321:Plant Preparations / Q000627:therapeutic use; D014336:Troponin / Q000378:metabolism
D006074:Gout Suppressants; D028321:Plant Preparations; D014336:Troponin; D003078:Colchicine; D000212:Acyclovir