Monday, October 11, 2010

We're All Bozos On This Bus

I wrote this for my medicine colleagues - I think  it applies to so much in life

We need to balance our need for overwhelming clinical evidence with the need to proceed as best we can in all that we do in the ICU - or we'd do precious little indeed
But we also must resist the urge to apply 'common sense' dogmatically - which as Einstein has told us is just really our lifetime cumulative bias
We must also resist the urge to always "know" what to do
Please see attached link
 

http://www.ncbi.nlm.nih.gov/pubmed/20502866

I'm struck that even nutritional strategies can potentially cause harm
But I'm even more struck by the sheer volume of conflicting data
And ultimately at how little we really know

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