Dr Nathanson reviews the flaws associated with the EGDT study
See also Video entitled “Alice in Bundleland”
Intensivist, Researcher, Myth-Buster, Status Quo Destabilizer
Latest posts by Paul Marik (see all)
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Paul, this is truly worrisome. one hopes that one can trust the minds and committees that we give decision making power to to make unbiased judicious conscientious guidelines and recommendations , including , and perhaps especially, when it comes to recommended standards of national or international care. enforced in some cases by the risk of penalty (e.g., not following the details of the sepsis bundle to the letter). especially when those “letters” are not completely secure, without doubt, and as Dr Nathanson describes above, possibly tarnished.
very worrisome.
thank you.
I enjoyed watching this video alluding to the risks of bundled care. For those that have missed @PaulMarik excellent talk at last International Fluid Academy I hereby give the link to his talk “Alice in Bundleland” http://fluidacademy.org/memberresources/item/hemodynamic-management-of-early-sepsis-2.html
[…] There's no way to know the reasons for hospitals' and physicians' slow pace of adoption of the SEP-1 CMS sepsis performance measure to date. Ordinary institutional delays, resistance by health care teams, or both could be present. Given that SEP-1 originated from a small group with established conflicts of interest, based on deficient evidence and a disproven study, mandating treatments that frequently contradict good clinical judgment, public criticism (or even skepticism) by physicians has been surprisingly limited to just a few voices. […]
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