The Guidelines and Protocols Advisory Committee (GPAC) has revised its guideline Ankle Injury—X-ray for Acute Injury of the Ankle or Mid-Foot (2014). The revised guideline is available online at www.bcguidelines.ca/guideline_anklex.html.
This guideline makes recommendations for adults who are 19 years or older with acute ankle and mid-foot injuries, presenting for the first time in a clinical setting (emergency department and primary care). The guideline excludes recommendations for patients who are younger than 19 years, have multiple painful injuries, or those who are pregnant, cognitively impaired, or with sensory deficits in their lower extremities.
• Use the Ottawa Ankle Rules to exclude fractures and reduce unnecessary imaging.
• Advise patients to seek follow-up care if their pain or ability to bear weight has not improved in 5 to 7 days.
For the complete list of GPAC guidelines, visit www.bcguidelines.ca. Physicians interested in participating in the development of future guidelines and protocols are encouraged to e-mail GPAC at firstname.lastname@example.org. Physician participation in guidelines and protocols development is compensated at the Doctors of BC sessional rate.
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