On 2014 Jun 25, Ryan Radecki commented:

Post-publication commentary:

"Guideline Recommendations Are Written in Dry Erase Marker, Not Stone."

Medicine is filled with guidelines, professional recommendations and expert consensus statements. These documents guide clinical practice. In Emergency Medicine, we often rely on non-EM specialty guidelines. For instance, we often state that a patient in whom you consider ACS should get evocative testing (i.e. stress test) within 72 hours of presentation according to the American College of Cardiology/American Heart Association (ACC/AHA) guidelines. As more guidelines and subsequent revisions are released a number of questions arise. Should we adopt the guidelines immediately? If so, which pieces are ready for immediate incorporation into clinical care? At the heart of these questions is the strength and durability of the recommendations....

http://www.emlitofnote.com/2014/06/guideline-recommendations-are-written.html

On 2014 Jun 25, Ryan Radecki commented:

Post-publication commentary:

"Guideline Recommendations Are Written in Dry Erase Marker, Not Stone."

Medicine is filled with guidelines, professional recommendations and expert consensus statements. These documents guide clinical practice. In Emergency Medicine, we often rely on non-EM specialty guidelines. For instance, we often state that a patient in whom you consider ACS should get evocative testing (i.e. stress test) within 72 hours of presentation according to the American College of Cardiology/American Heart Association (ACC/AHA) guidelines. As more guidelines and subsequent revisions are released a number of questions arise. Should we adopt the guidelines immediately? If so, which pieces are ready for immediate incorporation into clinical care? At the heart of these questions is the strength and durability of the recommendations....

http://www.emlitofnote.com/2014/06/guideline-recommendations-are-written.html