Evidence-Based Medicine in the ICU
Current financial constraints across the medical sector, accompanied by increasing litigation by patients and/or relatives, has resulted in increasing pressure on physicians of all specialties to account for their actions and supply supported reasoning for their actions. In this context, evidence-based medicine (EBM) has been promoted as a tool to provide physicians with the necessary means to evaluate the current basis for any proposed intervention. Essentially, EBM must be seen as an approach to literature appraisal and application, and requires the ability to accurately assess the weight carried by the various levels of evidence and to integrate all the evidence available in an overall assessment of the intervention in question. EBM is thus an approach to clinical practice based on knowledge of the evidence, and the strength of that evidence, on which practice is based [l]. Increasingly EBM has become the buzz word for ‘good’ medical practice.
KeywordsIntensive Care Medicine Noninvasive Positive Pressure Ventilation Acute Spinal Cord Injury Septic Morbidity Acute Spinal Cord Injury Study
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