Emergency MedThis is a featured page


Scenarios wanted! Please add your favorites! [Click on "Easy Edit", above]

Information about each scenario can include, but need not be limited to:
  • the case
  • the PICO'd question
  • type of question/preferred study design
  • suggested search strategies
  • teaching tips
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Scenario #1
A 46 year old male had been moving rocks for his rock garden when he felt a twinge and his low back became excruciatingly painful. He's come into the Emerg and is extremely unhappy and demanding an MRI. You thought CT was the standard for diagnosis.

P: patient with acute low back pain
I: MRI
C: CT Scan
O: Diagnostic effectiveness

Answerable Question: in patients with low back pain, is MRI more effective than CT scanning for diagnostic purposes?
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Scenario #2
A 17 year old male with drug overdose it brought into the ER. He's taken paracetamol, tylenol, & sleeping pills. Do recommend using activated charcoal or not?

P: patient with drug overdose
I: Activated charcoal
C: Nothing or Placebo
O: Therapeutic effectiveness

Answerable Question: in patients with drug overdose, is activated charcoal an effective therapy?
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Scenario #3
A 2 year old female with burns on 10% of body is rushed into the ER. You've read recently that honey had been used in such cases, but the more common treatment is Silvadene dressing. Is there any literature supporting one over the other?

P: Child with burns
I: Honey
C: Silvadene dressing
O: 1. Therapeutic effectiveness; 2. Harm/causation/etiology

Answerable Question: 1. In children with burns, is honey more effective than silvadene dressing?
2. In children with burns, is honey more likely to cause harm (scaring, complications) than Silvadene dressing?






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schardt
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Started By Thread Subject Replies Last Post
Siquavirtus Emergency Med PICOs 0 Jun 8 2007, 9:18 PM EDT by Siquavirtus
Thread started: Jun 8 2007, 9:18 PM EDT  Watch
Hi,
I've added these Emerg PICO scenarios. Please edit as necessary!
Any suggestions gratefully received.
Thank you,
Marina Englesakis
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