SHMAM10-Don’t order daily chest radiographs in hospitalized patients unless there are specific clinical indications. Posted May 31st, 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 .
AMSSM8-Consider evaluating rotator cuff tears with ultrasound before ordering an MRI. 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 diagnostic imaging to establish the diagnosis of cryptorchidism. Posted January 4th, 2022 by Nick Mackara & filed under .
AAPSNS5-Do not routinely obtain a CT or MRI scan for developmentally normal, clinically asymptomatic infants with macrocephaly. Posted March 15th, 2021 by Nick Mackara & filed under .
AAPSNS4-Do not perform routine imaging for evaluation of VP shunt function in a patient without signs or symptoms of shunt malfunction. Posted March 15th, 2021 by Nick Mackara & filed under .
AAPSNS3-Do not routinely perform imaging or routine elective procedures requiring sedation or general anesthesia for very young children with low-risk asymptomatic lesions. Posted March 14th, 2021 by Nick Mackara & filed under .
AAPSNS2-Do not obtain imaging of the cervical spine following trauma in an awake and alert patient without considering the use of clinical decision making (CDM) tools for cervical spine clearance. Posted March 14th, 2021 by Nick Mackara & filed under .
AMDA12- Don’t order routine follow up chest imaging for post-acute and long-term care residents with community acquired pneumonia whose symptoms have resolved within 5–7 days. Posted November 20th, 2020 by Nick Mackara & filed under .
AAPCC4- Do not order an echocardiogram for the routine evaluation of pediatric syncope in the absence of a concerning history or ECG abnormalities. Posted November 2nd, 2020 by Nick Mackara & filed under .
AAPCCS5-Do not order a screening ECG prior to initiation of attention-deficit/hyperactivity disorder (ADHD) therapy in asymptomatic, otherwise healthy pediatric patients with no personal or family history of cardiac disease. Posted November 2nd, 2020 by Nick Mackara & filed under .
AAPCCS3-Do not order an echocardiogram for the routine evaluation of pediatric chest pain in the absence of a concerning history or ECG abnormalities. Posted November 2nd, 2020 by Nick Mackara & filed under .
AAPCCS2-Do not routinely order a screening ECG as part of a sports preparticipation examination in asymptomatic, otherwise healthy patients with no personal or family history of cardiac disease. Posted November 2nd, 2020 by Nick Mackara & filed under .
SAGES 7 – Avoid unnecessary perioperative fasting for elective general surgical procedures. Posted August 27th, 2020 by Nick Mackara & filed under .
