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 preoperative chest x-rays in the absence of clinical signs or symptoms which indicate diseases that could affect the outcome of the surgery.
Clinical evidence does not support the routine performance of preoperative chest radiography, without a specific reason suggested by medical examination or the history of the patient. In the absence of cardiopulmonary signs or symptoms routine preoperative chest...
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 perform routine magnetic resonance imaging (MRI) of the knee in the event of acute pain from trauma or chronic pain.
MRI of the knee is often prescribed before an orthopedic clinical examination or specialist request, to patients of any age; even when this examination is not useful to a therapeutic decision. Patient history, accurate physical examination and knee radiograph are...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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