"Is science dead in the era of charisma based medicine"

2. Conflict of interest
Editor in chief of the European Journal of Emergency Medicine

3. Ideology
vs
aesthetics
Ideology
vs
EBM

4. Science vs Fake
Proofs vs Beliefs

5. Can you prove it’s spherical?
Watch a ship sail off to sea
Lunar eclipse

7. History of bloodletting – 400 BC

8. One dead POTUS later
During the first five decades of this
century the profession bled too much,
but during the last decades we have
certainly bled too little. Pneumonia is one
of the diseases in which a timely
venesection may save life. The
abstraction of from 20-30 ounces
(900ml) of blood is in every way
beneficial.
Osler W. Principles and practice of medicine. 1892. p. 5

11. Early 20th century – Karl Popper
A theory must have falsifiability.

12. It is impossible to prove that a theory is true

14. Unicorns exist

15. A theory must have falsifiability

16. Learn from mistake – look for contradiction

17. Bullet holes of returning planes
Planes need additional protection

18. What is charisma based science?
May not have falsifiability
May use « false » falsifiability
May rely on personal experience
May invoke COI
May just bring hope…

19. Analyse this!
No falsifiability - Use « false » falsifiability
Rely on personal experience – Has own COI
Try to bring hope (and oil business…)

20. Henry Markram had a dream
The Human Brain Project

21. Human Brain Project
TED Conference
Science
European funds

23. Homeopathy
It works on me
No RCT
No brainer!

24. Glyphosate (Roundup)

26. Cancerogenicity 2A
as per 1 out of 11 agencies
~Red meat, coffee, shift work that involves circadian disruption…

27. Glyphosate toxicity
1 « expert » opinion
Science and
10/11 agencies
Judge

28. Vaccine

29. Vaccine
Charisma 1 – Science 0

31. Guidelines
Self conviction
Self interest
Science
Expert

32. Guidelines on AHF

33. Guidelines on AHF – Loop diuretic
Class I recommendation, LOE B

34. Based on what?
We’ve always done it this way
And some low LOE studies on chronic HF

35. Guidelines on ACS – 2nd antiplatelet

36. Clopidogrel if other non available
Conflit of interest
Science
Expert

37. What can we do?

38. « A study proves that pesticides cause harm to neighbours. »
Be patient and be alert

39. What can we do?

40. What can we do?
Make science more charming?

41. Flu treatment

42. What can we do?
More EUSEM
less TED!