When is this arriving for the ps3?
oh - i see what you did there
evidence based medicine does have its place, and i think that we, as physicians should do our best to make sure our practice (using both local and national standards) is evidence based. however, as noted above in the pulse ox comment, sometimes current practice cannot be overcome by EBM. another example is continuous fetal heart rate monitoring in labor. no study has ever shown that continuous monitoring is better than intermittent monitoring in preventing adverse outcomes (such as cerebral palsy). every study has shown the continuous fetal monitoring increases the cesarean section rate. so , we use an intervention that confers no benefit and may increase the risk for harm. why? ask the plaintiff's bar