JULY 2. 2014 - RYAN DIETERT
"It has become clear to me, at the end of a three year emergency medicine residency, that medicine is muddy, that there are few hard truths in our field…even in the age of evidence-based practice. So many cases find us confronting critical patients with a woefully finite scope of knowledge, one that is evolving. That however, does not dissuade the teaching of medicine nor the conversations with consultants, pharmacists, surgeons, nursing staff, attendings, etc., nor the all-important internal discourse in our own minds from taking on an often absurd dogmatism. The following are just a few of the widely held and taught ideas whose time has passed….or never was.
- Kayexalate (SPS)
- Digoxin, Calcium, and Stone Heart
- Dopamine in Cardiogenic Shock
- Cross Reactivity of Penicillins
- IVFs and Cerebral Edema in Pediatric DKA
- An ABG Is a Necessary Laboratory Study
- Checking Troponin in SVT
- Check Coagulation Studies Before Paracentesis"
http://www.emdocs.net/skeptical-em-myths-evidence/