Evidence-Based Nursing or Rubbish?

Patients experiencing hypotension and shock should be placed in Trendelenburg position to improve blood flow to the heart and brain. True or False? Auscultating the abdomen while injecting air through a gastric feeding tube is a reliable way to ensure proper tube placement. True or False? To reduce aspiration risk, healthy preoperative adults who are undergoing […]

The Ten Commandments of Evidence Based Medicine

Thou shalt endeavour to provide patient care based on the BEST evidence. (BEEM) Thou shalt consider benefits of drugs as proven only by hard endpoint studies and not bow down to drug reps literature. Thou shalt not worship Guidelines, for these are but the creations of Committees which even their own members do not strongly […]

Choosing wisely: Unnecessary tests and treatments cost money and harm your patient financially (DO NO HARM)!

Don’t order CT head scans in adults and children who have suffered minor head injuries (unless positive for a head injury clinical decision rule). Don’t prescribe antibiotics in adults with bronchitis/asthma and children with bronchiolitis. Don’t order lumbosacral (low back) spinal imaging in patients with non-traumatic low back pain who have no red flags/pathologic indicators […]

The AFEM Presentation Bank

The AFEM Presentation Bank is a series of slide lectures corresponding to the AFEM Keystone, Core Interactive, and Expanded Interactive curricula. The curricula were created to address the significant barrier in African emergency care development attributable to a lack of high-quality, context-appropriate training resources. The Presentation Bank aims to supplement emergency care teaching and learning […]

Evidence based paediatric pain management

The Child Health Field’s journal, Evidence-Based Child Health, has published an overview of Cochrane evidence on reducing and preventing procedural pain for kids. The kids in the studies included in this synthesis ranged in age from infancy (but not newborns) up to 19 years. The overview found three main conclusions: Behavioural therapies, such as showing […]

Evidence based medicine: a movement in crisis?

EVIDENCE BASED MEDICINE: PUTTING RESEARCH INTO PRACTICE “Real evidence based medicine has the care of individual patients as its top priority, asking, “what is the best course of action for this patient, in these circumstances, at this point in their illness or condition?” It consciously and reflexively refuses to let process (doing tests, prescribing medicines) […]

Choosing Wisely

Antibiotics should not be used to treat asymptomatic bacteriuria. Physicians should avoid prescribing antibiotics for upper respiratory infections since most are viral. Antibiotics should be avoided for stasis dermatitis of lower extremities. The standard of care is leg elevation plus compression.

Emergency Medicine Kenya Foundation