Remove Evidence-Based Practice Remove Hospitals Remove Shock
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Publication Bias and Therapeutic Fashion

Sensible Medicine

It was a small study at one hospital. It showed that the common practice of using drugs to suppress rhythm disturbances (anti-arrhythmics) in patients after heart attack (myocardial infarction) led to higher death rates. Not only did it change the management of patients with MI, the trial began the evidence-based practice movement.

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Episode 32 - Assisting With Air Travel Medical Emergencies: Responsibilities and Pitfalls (Ethics CME)

EB Medicine

Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome. Nachi: The Good Samaritan law provides legal protection to medical providers who perform their services in response to medical emergencies outside of the hospital.

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PROFID EHRA: The Most Important Trial of the Decade in Cardiology

Sensible Medicine

Yet, still, the vast majority (≈13 of 14) of patients implanted with an ICD for primary prevention never receive a shock, and therefore gain no benefit. Keep in mind that the ICD is a dumb device—as it saves lives by shocking a malignant arrhythmia back to normal. Hospitals, too, lose money when fewer ICDs are implanted.