Rescue therapy for refractory hypoxemia in ARDS
I recently highlighted this as one of the top issues in hospital medicine for last year. Although I missed this review in JAMA from December 8 when preparing that post, many of the same points were made. The review is in a Johns Hopkins Grand Rounds format and the full text (which is unfortunately behind [...]
Logical Fallacies in Support of Payments for Board Members of Non-Profit Health Insurers
The kerfuffle over the huge golden parachute given the departing CEO of an ostensibly non-profit Massachusetts health insurer/ managed care organization continues to evolve (see posts here and here), providing some new insight into governance problems afflicting health care organizations. One of the issues that aroused initially aroused concern was that Massachusetts Blue Cross Blue [...]
Interview with David Sackett, one of the EBM movement’s founders
Although EBM (at least in its popular application) cannot evaluate the unscientific claims of CAM (you need SBM to do that) it is useful for evaluation of most of the clinical questions that arise in mainstream practice. And I wonder what David Sackett would say if asked about EBM’s blind spot. Right off the bat [...]
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Another use for the QT interval
It can help differentiate between benign and ischemic T wave inversion as well as benign early repolarization and ischemic ST elevation. It’s short in the benign variants, long in ischemia. Via Dr. Smith’s ECG Blog.
