<transcript><audio_0>what is evidence-based clinical practice fundamentally it's a skill set to ask and answer clinical questions you encounter during your daily practice there are a number of steps represented here but we're only going to focus on the first two as always in evidence-based clinical practice our story starts with a patient</transcript><caption><image_1>The image is a diagram that represents the evidence-based clinical practice. It is divided into four sections, each representing a different stage of the practice.

The first section is labeled "Ask", the second section is titled "Acquire", the third section is labelled "Act", and the fourth section is marked "Apply".

In the center of the diagram, there is a stick figure holding a speech bubble with the words "Ask" and "Appraise" written inside it. The stick figure is standing on a black background. The diagram also has a red banner at the bottom that reads "Emergency Medicine". This suggests that the image is related to the practice of evidence based clinical practices.</caption><transcript><audio_2>here she is she's a middle-aged female who's presenting to your emergency department with leg swelling and pain and ultimately her diagnosis is really no mystery to you she recently traveled to hawaii she's on oral contraceptives she smokes and she has a leg that looks</transcript><transcript><audio_3>like this you do a couple of tests and you find out she has an acute dvt completely including the common femoral vein now maybe you've seen a patient like this or maybe you haven't but undoubtedly you could come up with a number of questions about her and her condition</transcript><caption><image_4>The image is a digital illustration of a medical device, which appears to be a stethoscope, on a black background. On the left side of the image, there is a white cross-shaped device with a red circle in the center. The device is connected to a black wire that is attached to a white pole. On top of the wire, there are two speech bubbles with text inside them. The text in the speech bubbles reads "Emergency Medicine". On the right side of this image, on the bottom right corner, is a photograph of a person's legs, which appear to be swollen and swollen. The photograph is accompanied by text that reads "Medical Device".</caption><caption><image_5>The image is a black and white MRI scan of a patient's abdomen. The scan is displayed on a computer screen with a black background. On the left side of the image, there is a 3D model of a person with a speech bubble above their head. The person appears to be standing on a tripod, with their arms stretched out to the sides. The speech bubble contains text that reads "Emergency Medicine". On the right side, there are two images of the patient's stomach, one in the center and one on the left. The stomach is shown in a circular shape, with a small amount of blood flowing through it. The image appears to have been taken during the scan, as there are small white dots scattered throughout the image.</caption><transcript><audio_6>is unfractionated heparin or low molecular weight heparin a better treatment what's the mortality for patients like this what's the chance she'll go on to develop a pe what's the chance she'll go on to develop post-thrombotic syndrome is ed bedside ultrasound as good as venous</transcript><transcript><audio_7>duplex in the lab for diagnosing dvt will catheter directed tpa prevent post-thrombotic syndrome the questions are essentially endless but all share some very common characteristics the first common characteristic of a good clinical question is the structure</transcript><caption><image_8>The image is a black background with white question marks scattered across it. The question marks are of different sizes and shapes, and they are arranged in a random pattern. The image appears to be a graphic design, with the question marks being the main focus of the image. At the bottom right corner, there is a red banner with white text that reads "Emergency Medicine". The overall design is simple and minimalistic.</caption><transcript><audio_9>all clinical questions that define a patient or population of interest all specify an intervention or exposure some will define a comparison group and all define a target outcome looking at that last question we posed</transcript> what is evidence-based clinical practice fundamentally it's a skill set to ask and answer clinical questions you encounter during your daily practice there are a number of steps represented here but we're only going to focus on the first two as always in evidence-based clinical practice our story starts with a patient here she is she's a middle-aged female who's presenting to your emergency department with leg swelling and pain and ultimately her diagnosis is really no mystery to you she recently traveled to hawaii she's on oral contraceptives she smokes and she has a leg that looks like this you do a couple of tests and you find out she has an acute dvt completely including the common femoral vein now maybe you've seen a patient like this or maybe you haven't but undoubtedly you could come up with a number of questions about her and her condition is unfractionated heparin or low molecular weight heparin a better treatment what's the mortality for patients like this what's the chance she'll go on to develop a pe what's the chance she'll go on to develop post-thrombotic syndrome is ed bedside ultrasound as good as venous duplex in the lab for diagnosing dvt will catheter directed tpa prevent post-thrombotic syndrome the questions are essentially endless but all share some very common characteristics the first common characteristic of a good clinical question is the structure all clinical questions that define a patient or population of interest all specify an intervention or exposure some will define a comparison group and all define a target outcome looking at that last question we posed
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