Evidence-based Medicine

Ask a Librarian!—May 2012

, May 09, 2012

Our medical librarian-PA team answers questions about where to find resources for PA news and evidence-based medicine.
 

Ask a Librarian!—November 2011

, November 17, 2011

This month's topics include the evidence pyramid--how certain types of studies offer more rigorous evidence than others--and resources for PAs interested in OB/GYN topics.
 

Can an ACE inhibitor reduce the risk of 
developing progressive renal disease?

, Mark E. Archambault, DHSc, PA-C September 15, 2011

Using CCBs to treat hypertension in African Americans based on the perception that they have increased efficacy may do little to prevent ESRD.
 

Do drospirenone-containing oral 
contraceptives have a higher risk of VTE?

August 11, 2011

Because these products are among the top-selling OCs in the United States, awareness of the evidence regarding their safety is essential.
 

Ask a Librarian!—July 2011

, July 08, 2011

This month's topics are using Medline Clinical Queries and the definition of mental health professional.
 

Ask a librarian!—June 2011

, June 08, 2011

This month's topics are tools to help you appraise the medical evidence you find and searching out your state laws on involuntary psychiatric commitment.
 

Ask a Librarian!—May 2011

, May 11, 2011

This month's topics are online sources for evidence-based practice and finding good-quality patient information for EMRs.
 

Should etomidate be used for emergency 
intubation in patients with sepsis?

April 08, 2011

The ED community has preferred etomidate for intubation because of its reduced hemodynamic effects, but it is associated with a definite increase in adrenal suppression.
 

Ask a Librarian!—April 2011

, April 07, 2011

This month's topics are online sources for evidence-based practice and comparing UpToDate and DynaMed.
 

Ask a Librarian!—March 2011

, March 10, 2011

This month's topics are finding the best evidence on a Medline search and good patient information for older patients.
 

Is prasugrel more effective than clopidogrel at preventing future cardiac events?

February 11, 2011

Although the risks and benefits of using prasugrel should be evaluated on a case-by-case basis, prasugrel can be considered for selected patients because of its increased rates of effectiveness over clopidogrel.
 

Ask a Librarian!—February 2011

, February 10, 2011

This month's topics are EBM searches using the PICO model and the importance of health information literacy.
 

Ask a Librarian!—December 2010

, December 22, 2010

This month's topics are a continuation of the discussion of EBM and how to save PubMed search information in an Excel spreadsheet.
 

Does estrogen therapy improve the 
symptoms of stress urinary incontinence?

December 16, 2010

One formulation of estrogen may be helpful in postmenopausal women with stress urinary incontinence, but it isn't necessarily the best available treatment approach.
 

Ask a Librarian!—October 2010

, October 22, 2010

This month's topics include how to define and understand evidence-based medicine, and where to start if you're interesting in keeping up with all the happenings on the clinical side in the world of health information technology.
 

Hyperglycemia management in 
the urgent surgical patient

September 27, 2010

Stress-induced hyperglycemia presents a unique challenge. Avoidance of extreme fluctuations in blood glucose levels is critical.
 

Hypertension: 
Is BP out of 
control or uncontrolled?

From CSAC, the Clinical and Scientific Affairs Council of the AAPA September 14, 2010

The condition is prevalent in all patient populations despite the availability of evidence-based guidelines for effective treatment and management.
 

Hip resurfacing: A fresh look at an alternative to total joint arthroplasty

, Jackie H. Coleman, CST September 02, 2010

Improved devices make the procedure a viable option for a select group of patients with hip arthritis.
 
 

Acute evaluation and management of the anterior shoulder dislocation

, August 02, 2010

PAs, especially those in emergency or urgent care settings, should be familiar with several techniques.
 

Helicobacter pylori infection: An update on diagnosis and management

July 06, 2010

Sequelae of infection are causative factors in gastric cancer. Eradication of the bacteria, however, can be difficult.
 

Lyme disease rash is not always a bull's eye

June 30, 2010

On target with Lyme disease: Understanding vector-borne infections
 

Lyme disease: More than a controversy

June 30, 2010

On target with Lyme disease: Understanding vector-borne infections
 

Venous thromboembolism (VTE) risk assessment improves compliance with recommended prophylaxis

Marc Moote, MS, PA-C; Michael Englesbe, MD; Vinita Bahl, DMD, MPP; Hsou Mei Hu, MBA, MHS, PhD; Maureen Thompson, MSN, RN; James Kubus, MS; Darrell Campbell Jr, MD June 11, 2010

The consistency of PA-driven care was utilized to develop a protocol for assessing risk of VTE for surgical patients, which led to significant improvement in compliance with published guidelines.
 

Hypertrophic cardiomyopathy: The race to find a fatal condition in athletes

Charles S. Lemasters II, PA-C; John M. Grosel, MD June 02, 2010

Conflicting opinions and concerns about costs inhibit the routine use of 12-lead ECG in preparticipation screenings for young athletes.
 

What is an implantable cardioverter-defibrillator?

May 17, 2010

Your patients with arrhythmias will want to know all there is to know about these lifesaving devices.
 

Continuous professional development (CPD) enhances the pursuit of lifelong learning

May 12, 2010

The PEDC provides an overview of the impending changes in continuing medical education and explains how PAs can benefit from them.
 

On target with Lyme disease: Understanding vector-borne infections

May 03, 2010

Most infections are cured with antibiotic therapy; however, PAs should be alert for symptoms of persistent disease.
 

Eyes wide shut: Can casual use of medical evidence cause harm and erode bioethical values?

, , April 23, 2010

A complex patient case illustrates a range of societal and clinical biases and the impact these biases can have on patient care.
 

Should patients at low-to-moderate cardiac risk receive beta-blockers before undergoing noncardiac surgery?

Jennifer S. Williams, MMS, PA-C; Kristen K. Will, MHPE, PA-C; Zachary C. Hartsell, MPAS, PA-C; Adriane I. Budavari, MD March 29, 2010

A search of the literature does not support using beta-blocker therapy in patients at lower risks for cardiac events prior to noncardiac surgery.
 

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