32 min listen
Talk Evidence - Sepsis, talc and blindsided by blinding
FromTalk Evidence
ratings:
Length:
41 minutes
Released:
Jan 22, 2020
Format:
Podcast episode
Description
Welcome to the festive talk evidence, giving you a little EBM to take you into the new year. As always Duncan Jarvies is joined by Helen Macdonald (resting GP and editor at The BMJ) and Carl Heneghan (active GP, director of Oxford University’s CEBM and editor of BMJ Evidence)*
This month:
(1.20) Carl tells us about new research on treating sepsis with steroids that might inform practice.
(4.58)Proscribing of prophylactic PPIs or H2-blockers for intensive care patients.
(11.00) Carl wonders if we can actually rule out an increased risk of ovarian cancer with the use of talc.
(17.46) Helen drops and EBM bombshell - is all the work needed to blind participants in a double blind randomised control trial actually worth it?
(33.00) Helen is annoyed about a press release from the department of health, and kicks of 2020 by stealing Carl's rant spot.
Reading list:
Corticosteroids for Treating Sepsis in Children and Adults
https://pubmed.ncbi.nlm.nih.gov/31808551-corticosteroids-for-treating-sepsis-in-children-and-adults/?dopt=Abstract
Gastrointestinal bleeding prophylaxis for critically ill patients: a clinical practice guideline
https://www.bmj.com/content/368/bmj.l6722
Association of Powder Use in the Genital Area With Risk of Ovarian Cancer.
https://www.ncbi.nlm.nih.gov/pubmed/31910280
Blinding
Fool’s gold? Why blinded trials are not always best
https://www.bmj.com/content/368/bmj.l6228
Impact of blinding on estimated treatment effects in randomised clinical trials
https://www.bmj.com/content/368/bmj.l6802
*quick note to say sorry about the sound quality on Duncan's microphone - we had a technical glitch (he was left alone to record).
This month:
(1.20) Carl tells us about new research on treating sepsis with steroids that might inform practice.
(4.58)Proscribing of prophylactic PPIs or H2-blockers for intensive care patients.
(11.00) Carl wonders if we can actually rule out an increased risk of ovarian cancer with the use of talc.
(17.46) Helen drops and EBM bombshell - is all the work needed to blind participants in a double blind randomised control trial actually worth it?
(33.00) Helen is annoyed about a press release from the department of health, and kicks of 2020 by stealing Carl's rant spot.
Reading list:
Corticosteroids for Treating Sepsis in Children and Adults
https://pubmed.ncbi.nlm.nih.gov/31808551-corticosteroids-for-treating-sepsis-in-children-and-adults/?dopt=Abstract
Gastrointestinal bleeding prophylaxis for critically ill patients: a clinical practice guideline
https://www.bmj.com/content/368/bmj.l6722
Association of Powder Use in the Genital Area With Risk of Ovarian Cancer.
https://www.ncbi.nlm.nih.gov/pubmed/31910280
Blinding
Fool’s gold? Why blinded trials are not always best
https://www.bmj.com/content/368/bmj.l6228
Impact of blinding on estimated treatment effects in randomised clinical trials
https://www.bmj.com/content/368/bmj.l6802
*quick note to say sorry about the sound quality on Duncan's microphone - we had a technical glitch (he was left alone to record).
Released:
Jan 22, 2020
Format:
Podcast episode
Titles in the series (71)
Talk Evidence - Radiation, fertility, and pneumonia: Helen Macdonald and Carl Heneghan are back again talking about what's happened in the world of evidence this month. They start by talking about how difficult a task it is to find evidence that's definitely practice changing, what GPs can learn from ... by Talk Evidence