On the 24th October 2016 the Academy of Medical Royal Colleges brought out a report called Choosing Wisely . It was inspired by a world-wide initiative to encourage greater communication between clinicians and patients in order to avoid unnecessary tests, treatments and procedures.
As part of this initiative the Royal College of Paediatrics and Child Health recommended that:
Bronchodilators should not be used in the treatment of mild or moderate presentations of acute bronchiolitis in children without any underlying conditions.
The Royal College of Radiologists recommended that:
Where there is suspicion of a pulmonary embolus, imaging should be guided by clinical scoring systems.
There were no specific recommendations from the Royal College of Physicians so I wonder if anyone has any other ideas from the respiratory community?
Emily Farrow (new CSH Clinical Programme Deputy Director)