You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

Labs or CT scans are not necessary to provide additional diagnostic information or reassurance for most children who recover completely following simple febrile seizures or unprovoked first time generalized seizures. The rate of abnormalities on these studies is very low, and the cost and downsides are too high to justify ordering them on a regular basis.

By |2023-09-06T15:04:55-04:00September 13th, 2023|Choosing Wisely, Neurology, Radiology|

A classic educational video about the dangers of Repetitive Read Syndrome

Repetitive Read Syndrome is affecting Radiologists across the globe. Symptoms include dictations including the same phrasing and suggesting clinical correlation repeatedly. We can help our Radiology colleagues by avoiding unnecessary chest X-ray orders for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing.

By |2023-08-29T10:56:32-04:00September 1st, 2023|Choosing Wisely, Radiology|

A video that teaches you how to talk about why we don’t need chest X-Rays in respiratory illnesses

Did you know that chest X-Rays are not recommended for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing. Choosing Wisely recommends that doctors and all medical providers have detailed conversations with patients and their families about why X-Rays are unlikely to give new information or provide any additional reassurance. They also expose young children to unnecessary radiation. This video features Dr. Vincent Alexander who conducts a simulated discussion with a parent of a child with a respiratory illness.

By |2023-08-27T10:18:24-04:00September 1st, 2023|Choosing Wisely, Infectious Diseases, Radiology|

You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely, an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. Expert Contributors Michele Nypaver, MDUniversity [...]

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