Using the Medical Literature to Provide Optimal Patient Care

Slides:



Advertisements
Similar presentations
5S CLÍNICA MÉDICA (MH) 306 A. 5S CLÍNICA MÉDICA (MH) 306 B.
Advertisements

Objective What is EBM. How to apply it. How to make evidence base presentation.
© 2007 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved. 2 ETCO Case Studies 1Capnography in the Management of the Critically Ill.
Medical Research: Validity, Bias, Confounds, Probability, P-value, and Power Kimberly Pendell.
Keeping Up Sources of Information Identifying Relevance and Validity Amy Lee, MD Allen Shaughnessy, PharmD.
Amy Knehans, MLIS AHIP
ACLS algorithm for bradycardia
ACLS algorithm for VF/VT
Proportion of US medical students entering primary care strongly tracks relative incomes of primary care physicians. The figure shows trends over time.
Normal Arterial Anatomy of the Lower Limb and Positioning for Measurement of Ankle Systolic Pressure Used for Determining the Ankle Branchial Index (ABI)
Transabdominal ultrasound image showing the appearance of water in the stomach, a technique effective to displace overlying gas in the stomach and allow.
Adapted from Montori et al,1 by permission of the publisher
A consultand is an individual under evaluation for predicting his or her own future risk or the risk of his or her offspring. The arrow identifies the.
ACLS algorithm for bradycardia
ACLS algorithm for asystole
Diagnostic approach: Dizziness.
Complement reaction sequence and infections associated with deficiency states. (Redrawn, with permission, from Nairn R. Immunology. In: Brooks GF et al,
Ann Intern Med. 2014;160(11): doi: /M Figure Legend:
A, Biceps load test II is performed with the patient supine, the arm is placed in 120-degree abduction (90-degree abduction in biceps load test I), and.
PICC line thrombus (arrow) with 2D (A) and 3D (B) imaging.
A, Apprehension test, although of limited clinical value because of low specificity, is included as part of a sequence of tests for shoulder instability.
Copyright © 2017 American Academy of Pediatrics.
Anatomy of the Knee Right knee shown
Examination Maneuvers Right knee shown
This diagram illustrates the normal spatial relationship of the prostate gland to the bladder, urethra, and rectum. From the bladder neck, the prostatic.
Abbreviations: GERD, gastroesophageal reflux disease; H2RA, histamine2-receptor agonist; PA, prokinetic agent; PPI, proton-pump inhibitor. Source: Economic.
Copyright © 2015 by the American Osteopathic Association.
In diastolic dysfunction, the diastolic pressure-volume relationship is shifted upward and to the left (dashed line), which leads to an elevated left ventricular.
Midsagittal section through the brain of a patient with a brain stem tumor. Histologic findings showed the tumor to be an ependymoma. Source: Discussion.
Flexion abduction external rotation (FABER) test (Patrick Test).
(Reproduced, with permission, from Langman J, Sadler TW
The numbered points represent individual studies
Copyright © 2017 American Academy of Pediatrics.
Rodin, “The Kiss” (545 x 800). Accessed at
Basic biochemistry of diabetic ketoacidosis (DKA)
Data from Bouri et al.1 Source: Understanding and Applying the Results of a Systematic Review and Meta-analysis, Users' Guides to the Medical Literature:
Diagnostic algorithm for hyponatremia
Copyright © 2006 American Medical Association. All rights reserved.
From: Using Process Analysis to Assess the Impact of Medical Education on the Delivery of Pain Services:A Natural Experiment Anesthes. 2012;116(4):
Because we would like to optimally individualize patient care, n-of-1 randomized clinical trials are at the top of the hierarchy of study designs, followed.
Anatomical Considerations During Lumbar Puncture Lumbar puncture is usually performed with the patient in the lateral recumbent position. To avoid rotation.
Copyright © 2017 American Academy of Pediatrics.
†††Patients who do not meet any of the triage criteria in Steps One through Four should be transported to the most appropriate medical facility as outlined.
The processing of microRNA that is involved in gene regulation by RNA interference. (Reprinted with permission from Brooker RJ: Genetics: Analysis & Principles,
Decision tree for ulcerative colitis
Natural history of enteric (typhoid) fever
CThe only physical examination finding that increases the likelihood of UTI is costovertebral angle tenderness, and clinicians may consider not performing.
Normal Eye Anatomy, PVD, Retinal Tear, and Retinal Detachment A, Normal eye anatomy. B, Posterior vitreous detachment (PVD) involves separation of the.
Patient with mild ophthalmopathy of Graves disease
Adapted from Montori et al,1 by permission of the publisher
CThe only physical examination finding that increases the likelihood of UTI is costovertebral angle tenderness, and clinicians may consider not performing.
Major cerebral veins and venous sinuses subject to thrombotic occlusion. (Used with permission from Waxman S. Clinical Neuroanatomy. 26th ed. New York,
Hierarchy of clinical evidence
Types of Lumbar Puncture Needles Two types of lumbar puncture needles are available—the atraumatic (Sprotte or Pajunk) needle and the standard (Quincke)
Positioning of Patient and Needle for Diagnostic Paracentesis Using the Z-tract Technique To perform a paracentesis, place the patient in a supine position.
Copyright © 2004 American Medical Association. All rights reserved.
Supply of practicing physicians in the United States
World Health Organization (WHO) three-step ladder oral analgesic program for managing cancer pain. Source: Chapter 48. Pain Management and Symptom Control,
The image was obtained in an asymptomatic woman 7 weeks and 4 days after her last menstrual period. The right tubal ectopic pregnancy is seen in the transverse.
Source: Dizziness, Symptom to Diagnosis: An Evidence-Based Guide, 3e
Number of uninsured persons in the United States, 1980 to 2014 (U. S
Diagnostic Algorithm for Febrile Male Infants Aged 3 to 24 Months Suspected of Having a UTI UTI indicates urinary tract infection; LR, likelihood ratio.
The numbered points represent individual studies
Recommended Clinical Tests for the Evaluation of Rotator Cuff Disease
Evaluation of Proteinuria
Chapter 22 Rehabilitation
Gordon G. Giesbrecht, PhD  Wilderness & Environmental Medicine 
Eric Berger  Annals of Emergency Medicine 
K.P. Mason  British Journal of Anaesthesia 
Gordon G. Giesbrecht, PhD  Wilderness & Environmental Medicine 
Presentation transcript:

Using the Medical Literature to Provide Optimal Patient Care Source: How to Use the Medical Literature—and This Book—to Improve Your Patient Care, Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed Citation: Guyatt G, Rennie D, Meade MO, Cook DJ. Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed; 2015 Available at: https://jamaevidence.mhmedical.com/DownloadImage.aspx?image=/data/Books/847/guyatt_ch01_fig-01-01.jpeg&sec=69031568&BookID=847&ChapterSecID=69031457&imagename= Accessed: December 28, 2017 Copyright © 2017 American Medical Association. All rights reserved