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Emergency Medicine Journal 2008;25:251-252; doi:10.1136/emj.2008.057711
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

COMMENTARY

All that glistens is not gold

Malcolm Woollard, Kevin Mackway-Jones

Faculty of Health & Life Sciences, Coventry University, Coventry, UK

Correspondence to:
Professor M Woollard, Faculty of Health & Life Sciences, Coventry University, Richard Crossman Building, Priory Street, Coventry CV1 5FB, UK; malcolm.woollard@btinternet.com

Accepted 6 January 2008

The first 150 words of the full text of this article appear below.

There is a tendency among pre-hospital and emergency medicine practitioners to be "early adopters". We have a love of gadgetry, perhaps because of our drive to "do" something to the patient at the time of their greatest need, to save them from the worst possible illnesses and injuries, and our occasional but still worryingly frequent frustration at our inability to do so.

This makes us a gift to industry representatives seeking opportunities to have highly motivated clinicians to "trial" new equipment and to share their enthusiasm with others. This enthusiasm is often initiated by the unassailable logic presented by the salesman about why the equipment should work, perhaps supported by carefully selected "evidence". This, however, is more likely to be based on small studies of poor quality, often using animal models or proxy outcomes rather than reliable clinical end points such as objectively measurable changes in morbidity and mortality, particularly . . . [Full text of this article]


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