The Canadian Association of Emergency Physicians (CAEP) has released an additional set of five Choosing Wisely Canada recommendations to encourage clinicians and patients to have conversations about tests and treatments that are overused in the emergency department.
The five new recommendations include:
- Don’t order CT head scans in adult patients with simple syncope in the absence of high-risk predictors.
- Don’t order CT pulmonary angiograms or VQ scans in patients with suspected pulmonary embolism until risk stratification with decision rule has been applied and when indicated, D-dimer biomarker results are obtained.
- Don’t use antibiotics in adults and children with uncomplicated sore throats.
- Don’t order ankle and/or foot X-rays in patients who have a negative examination using the Ottawa ankle rules.
- Don’t use antibiotics in adults and children with uncomplicated acute otitis media.
For the full list, including a rationale and key evidence to support each recommendation, see Emergency Medicine: Ten Things Physicians and Patients Should Question.
CAEP joins over 50 Canadian medical professional societies in publishing over 180 recommendations of tests and treatments that are overused with a goal of improving the quality of care delivered to Canadians.