Data availability
Data used in the manuscript are from the previously published studies and is publicly available. Any additional queries about data interpretation can be directed to the authors.
References
Cheng AH, Campbell S, Chartier LB, Dowling S, Goddard T, Gosselin S, Rowe BH. Choosing Wisely Canada’s emergency medicine recommendations: time for a revision. Can J Emerg Med. 2019;21(6):717–20.
Chen KCJ, Thiruganasambandamoorthy V, Campbell SG, Upadhye S, Dowling S, Chartier LB. Choosing Wisely Canada: scratching the 7-year itch. Can J Emerg Med. 2022;24:1–5.
Babl FE, Borland ML, Phillips N, Kochar A, Dalton S, McCaskill M, et al. Paediatric Research in Emergency Departments International Collaborative (PREDICT). Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study. Lancet. 2017;389(10087):2393–402.
Osmond MH, Klassen TP, Wells GA, Davidson J, Correll R, Boutis K, Stiell IG. Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department. CMA J. 2018;190(27):E816–22.
Babl FE, Oakley E, Dalziel SR, Borland ML, Phillips N, Kochar A, Lyttle MD. Accuracy of clinician practice compared with three head injury decision rules in children: a prospective cohort study. Ann Emerg Med. 2018;71(6):703–10.
Mori K, Abe T, Matsumoto J, Takahashi K, Takeuchi I. Indications for computed tomography in older adult patients with minor head injury in the emergency department. Acad Emerg Med. 2021;28(4):435–43.
Foks KA, van den Brand CL, Lingsma HF, van der Naalt J, Jacobs B, De Jong E, Dippel DW. External validation of computed tomography decision rules for minor head injury: prospective, multicentre cohort study in the Netherlands. BMJ. 2018. https://doi.org/10.1136/bmj.k3527.
Maughan BC, Baren JM, Shea JA, Merchant RM. Choosing wisely in emergency medicine: a national survey of emergency medicine academic chairs and division chiefs. Acad Emerg Med. 2015;22(12):1506–10.
Jennings RM, Burtner JJ, Pellicer JF, Nair DK, Bradford MC, Shaffer M, Uspal NG, Tieder JS. Reducing head CT use for children with head injuries in a community emergency department. Pediatrics. 2017;139(4): e20161349.
Masood S, Woolner V, Yoon JH, Chartier LB. Checklist for Head Injury Management Evaluation Study (CHIMES): a quality improvement initiative to reduce imaging utilisation for head injuries in the emergency department. BMJ Open Qual. 2020;9(1): e000811.
Author information
Authors and Affiliations
Contributions
SW, KJC, VT, SGC, SU, SD, and LBC drafted the manuscript. All of the authors gave final approval of the version to be published and agreed to be accountable for all aspects of the work.
Corresponding author
Ethics declarations
Conflict of interest
None.
Rights and permissions
About this article
Cite this article
Wilson, S., Chen, Kc.J., Chartier, L.B. et al. Revisiting Choosing Wisely recommendation #1: “Don’t order CT head scan in adults and children who have suffered minor head injuries (unless positive for a validated clinical decision rule)”. Can J Emerg Med 25, 458–461 (2023). https://doi.org/10.1007/s43678-023-00515-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s43678-023-00515-0