Five more recommendations to avoid unnecessary tests and procedures
In October at ACEP14 in Chicago, ACEP released a second list for the ABIM Foundation’s Choosing Wisely campaign. The campaign encourages medical specialty societies to create lists of five tests and procedures that may not be cost-effective in some situations and should prompt discussion with patients in order to both educate them and gain their agreement regarding avoidance of such tests and procedures. Here’s the most recent list:
1 Avoid CT of the head in asymptomatic adult patients in the emergency department with syncope, insignificant trauma, and a normal neurological evaluation. Syncope (passing out or fainting) or near syncope (lightheadedness or almost passing out) is a common reason for visiting an emergency department, and most of those visits are not serious. Many tests may be ordered to identify the cause of the problem. However, these tests should not be routinely ordered, and the decision to order them should be guided by information obtained from patients’ history or physical examination.