Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

Do Gold Standards Exist

The most recent Standing Orders podcast, “A Hot Potato” The Future of Pre-hospital Airway Management, covers a topic that can fill up several podcasts – airway management/intubation.

At 9 1/2 minutes into the podcast Dr. Keith Wesley makes a statement about Gold Standards that is worth a bunch of podcasts itself.

I keep hearing “The Gold Standard.” Well, as much as this may blow away our listeners, particularly those fresh out of training –

There are no Gold Standards.

If there were Gold Standards, then we would be practicing the same medicine that Hippocrates was practicing thousands of years ago.

The realities are that science changes. I don’t believe in Gold Standards. I think that assumes there are absolutes.

This episode of the Standing Orders podcast was recorded on Valentine’s Day. This was not the Valentine I had been hoping for. This could be even better than what I was hoping for.

Late edit – 03/03/11 – I changed the last sentence from, This could be better, to This could be even better than what I was hoping for. It was pointed out to me that the original wording could be interpreted as a negative comment about the podcast. My impression of the podcast is not at all negative.

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Comments

  1. As far as “gold standards” go, how about the EMD/MPD “standards”? And their horrific ability to actually do what they advertise that they can do.

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  1. […] This post was mentioned on Twitter by EMS Blogs, Chronicles of EMS. Chronicles of EMS said: Do Gold Standards Exist http://bit.ly/fzTIAT Via @EMSblogs #CoEMS […]

  2. […] already mentioned the excellent comment on Gold Standards by Dr. Wesley. Another topic mentioned (just over 57 minutes in) is – What makes an intubation […]

  3. […] We need to stop making excuses for the harming patients just to provide the dangerous Standard of Care or Gold Standard. […]