Evidence-Based Medicine in Critical Care
The knowledge and skills obtained during the course of study in the medical school are insufficient to carry on a life-long successful practice. To make clinical decisions, the practicing physician, even today is largely dependent on his obsolete knowledge and expertise derived from unsystematic observations made during his training period, which can be as old as his medical course itself. It needs to be updated periodically with the findings of new scientific/medical research. The scientific research has to be translated into clinical practice for improving the patient care provided to the community. Patient’s values are rarely acknowledged and current practices are often outdated, with the result that the patient rarely gets the best currently available care. It is exactly 30 years since Archie Cochrane uttered the following words that sparked the “Evidence-Based Medicine” movement: “It is surely a great criticism of our profession that we have not organized a critical summary, by specialty or subspecialty, adapted periodically, of all randomized controlled trials” . Today the practice of EBM has grown into the most popular paradigm or tool of translation of research into practice The application of Evidence-Based Medicine (EBM) principles can help us with this daunting task that challenges us daily to offer the “Best” patient care.
KeywordsExternal Evidence Organophosphorous Poisoning Single Bolus Dose Great Criticism Randomize Placebo Control Clinical Trial
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