The Importance of Evidence-Based Medicine

The number needed to treat for rheumatic fever is crazy high so definitely you know one in the hundreds of thousands if not one in a million compared to the fairly high incidence of number needed to harm. I think it's a history and physical that needs to drive it and we have to take a little weight off the x-ray. When you're suspecting something in the posterior circulation especially in a young person consider a painless posterior circulation dissection because it can change management. We just touched on a recent pain-related article that got a lot of play and there was a bit of a discussion in the room about opioids as an analgesic at emergency department.