Avoid CT scans for mild head injury and avoid psychostimulants for preschool children with ADHD. These are 2 of the 49 new recommendations pertaining to various medical specialties recently released by Choosing Wisely Canada.
The recommendation concerning CT scans was developed by the Canadian Association of Emergency Physicians and recognizes that most adults and children with minor head injuries do not suffer from serious brain injuries requiring hospitalization or surgery. Further, performing CT head scans without signs of significant injuries can expose patients to unnecessary radiation that can increase a patient’s lifetime risk of cancer.
Avoiding psychostimulants as first treatment for preschool children with ADHD recognizes the need to assess children for environmental stressors such as neglect, abuse, or exposure to domestic violence before prescribing drugs as the solution. In some cases, education and support of parents followed by advice on behavioral management and community placement might be the alternative. The recommendation was developed through collaboration of the Canadian Psychiatric Association, the Canadian Academy of Child and Adolescent Psychiatry, and the Canadian Academy of Geriatric Psychiatry.
Choosing Wisely Canada is a campaign aiming to provide information to help physicians and patients make effective choices about tests, treatments, and procedures to ensure high-quality care. To access all of Choosing Wisely Canada’s 150 physician recommendations, patient materials, and additional resources, visit www.choosingwiselycanada.org.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org