Don’t perform routine radiology of the skull in minor head injury.
Minor traumatic brain injury (TBI) is defined as a head injury with or without a history of loss of consciousness, amnesia or confusion, with a Glasgow Coma Score (GCS) of 14 or 15; excluding patients with focal neurological deficit, suspected sunk fracture or with...
Don’t perform magnetic resonance imaging (MRI) for non-traumatic headache in the absence of warning clinical signs.
Too many MRIs are performed at the first sign of non-traumatic headache; In addition, the clinical suspicion is rarely mentioned in the request, which would suggest how to perform an appropriate examination, as there are different ways to perform an MRI examination...
Don’t administer steroids to children with acute pharyngitis.
The administration of steroids to children with acute pharyngitis may mask signs or symptoms of other possible associated diseases and could lead to a delay in diagnosis of medical conditions that, although rare, can be severe, such as lymphomas or other...
Don’t shorten antibiotic course in children with acute pharyngitis and microbiologic confirmation of streptococcal infection.
The recommended first choice antibiotic therapy is amoxicillin 50 mg/kg divided into 2-3 administrations for 10 days. Only a 10-day therapy is associated with effective reduction in the risk of rheumatic disease. Only in cases with poor compliance should intramuscular...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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