{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T21:47:54Z","timestamp":1771364874047,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"S2","license":[{"start":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T00:00:00Z","timestamp":1488412800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJEM"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S148180351700001X_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>Choosing Wisely Canada (CWC) is an initiative to encourage patient-physician discussions about the appropriate, evidence based use of medical tests, procedures and treatments. We present the Canadian Association of Emergency Physicians\u2019 (CAEP) top five list of recommendations, and the process undertaken to generate them.<\/jats:p><\/jats:sec><jats:sec id=\"S148180351700001X_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>The CAEP Expert Working Group (EWG) generated a candidate list of 52 tests, procedures, and treatments in emergency medicine whose value to care was questioned. This list was distributed to CAEP committee chairs, revised, and then divided and randomly allocated to 107 Canadian emergency physicians (EWG nominated) who voted on each item based on: action-ability, effectiveness, safety, economic burden, and frequency of use. The EWG discussed the items with the highest votes, and generated the recommendations by consensus.<\/jats:p><\/jats:sec><jats:sec id=\"S148180351700001X_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The top five CAEP CWC recommendations are: 1) Don\u2019t order CT head scans in adults and children who have suffered minor head injuries (unless positive for a validated head injury clinical decision rule); 2) Don\u2019t prescribe antibiotics in adults with bronchitis\/asthma and children with bronchiolitis; 3) Don\u2019t order lumbosacral spinal imaging in patients with non-traumatic low back pain who have no red flags\/pathologic indicators; 4) Don\u2019t order neck radiographs in patients who have a negative examination using the Canadian C-spine rules; and 5) Don\u2019t prescribe antibiotics after incision and drainage of uncomplicated skin abscesses unless extensive cellulitis exists.<\/jats:p><\/jats:sec><jats:sec id=\"S148180351700001X_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The CWC recommendations for emergency medicine were selected using a mixed methods approach. This top 5 list was released at the CAEP Conference in June 2015 and should form the basis for future implementation efforts.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cem.2017.1","type":"journal-article","created":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T10:44:41Z","timestamp":1488451481000},"page":"S9-S17","source":"Crossref","is-referenced-by-count":28,"title":["Choosing Wisely Canada<sup>\u00ae<\/sup>: Five tests, procedures and treatments to question in Emergency Medicine"],"prefix":"10.1007","volume":"19","author":[{"given":"Amy H. Y.","family":"Cheng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Campbell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas B.","family":"Chartier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Goddard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirk","family":"Magee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill","family":"McEwen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atul K.","family":"Kapur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian R.","family":"Holroyd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suneel","family":"Upadhye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Couperthwaite","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian H.","family":"Rowe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2017,3,2]]},"reference":[{"key":"S148180351700001X_ref29","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu296"},{"key":"S148180351700001X_ref27","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa043252"},{"key":"S148180351700001X_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60172-0"},{"key":"S148180351700001X_ref1","unstructured":"ChoosingWisely. 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