AMSSM10-Do not delay initiation of early sub-threshold, symptom-limited aerobic exercise as rehabilitation for adolescents who have sustained an acute sport-related concussion. Posted March 29th, 2022 by Nick Mackara & filed under .
AMSSM9-Do not cast or perform follow-up x-rays for isolated, non-displaced/ non-angulated distal radius buckle fractures that do not involve the physis and which have an intact cortex in children. Posted March 29th, 2022 by Nick Mackara & filed under .
AMSSM7-Do not order ankle or midfoot X-rays for patients older than 6 years old without positive criteria per the Ottawa ankle rules. Posted March 29th, 2022 by Nick Mackara & filed under .
Do not perform a bagged urine specimen for urine culture to confirm urinary tract infection in a non-potty-trained child. Posted January 4th, 2022 by Nick Mackara & filed under .
Do not perform newborn clamp circumcision in boys with anatomic penile anomalies including hypospadias, chordee, penile torsion, or penoscrotal webbing without first consulting with a urologist. Posted January 4th, 2022 by Nick Mackara & filed under .
Do not screen for urinary tract infection in asymptomatic patients who perform clean intermittent catheterization. Posted January 4th, 2022 by Nick Mackara & filed under .
Do not perform diagnostic imaging to establish the diagnosis of cryptorchidism. Posted January 4th, 2022 by Nick Mackara & filed under .
SABM5-Avoid dependence on standard laboratory values for transfusion decisions; consideration of the patient’s clinical status is requisite. Posted September 21st, 2021 by Nick Mackara & filed under .
SABMPed4-Avoid transfusing older RBC units (>7 days) in infants <10 kg or < 1 year of age requiring massive transfusions to prevent hyperkalemic cardiac arrest. Posted September 21st, 2021 by Nick Mackara & filed under .
SABMPeds3-Avoid/reduce allogenic transfusion by first using cell salvage for pediatric high blood loss surgery. Posted September 21st, 2021 by Nick Mackara & filed under .
SABMPeds2- Avoid hemodilution and unnecessary blood draws to avoid dilutional coagulopathy and iatrogenic anemia. Posted September 21st, 2021 by Nick Mackara & filed under .
SABMPeds1-Don’t proceed with non-emergent major surgery until anemia is evaluated and treated. Posted September 21st, 2021 by Nick Mackara & filed under .
AOTA10-Don’t provide ambulation or gait training interventions that do not directly link to functional mobility. Posted July 27th, 2021 by Nick Mackara & filed under .
AOTA9-Don’t use slings for individuals with a hemiplegic arm that place the arm in a flexor pattern for extended periods of time. Posted July 27th, 2021 by Nick Mackara & filed under .
AOTA8-Don’t use reflex integration programs for individuals with delayed primary motor reflexes without clear links to occupational outcomes. Posted July 27th, 2021 by Nick Mackara & filed under .
