Resultados de Búsqueda

Choosing Wisely Canada

Occupational Medicine Specialists of Canada - Canadian Medical Association - University of Toronto

*Dietary history suggests risk; the patient is pregnant or planning to become pregnant; and/or the patient is occupationally exposed to organomercury compounds.

For further information please visit the website of the initiative (link below) For adults, Health Canada’s guidance value for total blood mercury concentrations is 8 µg/L (40 nmol/L) for childbearing women and 20 µg/L (100 nmol/L) for females ≥ 50 years and males > 18 years. Although clinically significant exposures ...

Choosing Wisely Canada

Occupational Medicine Specialists of Canada - Canadian Medical Association - University of Toronto

Acute low back pain is a common health problem affecting between 50-90% of people over the course of a lifetime with less than 2% of cases representing potentially serious conditions requiring surgical or medical intervention. Red flags suggesting additional testing include such things as a history of significant trauma, cauda equina syndrome, symptoms suggestive of tumour or infection (fever, weight loss, history of cancer), steroid use, etc. However, the majority of acute low back pain ...

Choosing Wisely Canada

Occupational Medicine Specialists of Canada - Canadian Medical Association - University of Toronto

Increases in opioid prescribing have been accompanied by simultaneous increases in abuse, serious injuries, and deaths from overdose. Compared to those on no, or lower opiate doses, those prescribed higher opiate doses have increased disability risk and duration. The use of opiates can result in effects such as euphoria, drowsiness or inability to concentrate. Cognitive and psychomotor ability are essential functions for driving a motor vehicle and other complex work tasks. Those who prescribe ...

Choosing Wisely Canada

Occupational Medicine Specialists of Canada - Canadian Medical Association - University of Toronto

There is substantial evidence to support the positive link between work and health (physical, mental and social health). Both employment and income are separate determinants of health and are used as health status indicators. Absence from work contributes to declining health, slower recovery times, and longer duration of disability. Maintaining and restoring working capacity is an important function of health services which improves function and can also impact upon recovery and prognosis. ...

Choosing Wisely Canada

Canadian Society of Nephrology - Canadian Medical Association - University of Toronto

Initiating chronic dialysis before the appearance of uremic symptoms or other clinical indication is associated with significant burden and inconvenience for the patient without any clinical benefit. Recent guidelines from the Canadian Society of Nephrology recommend that patients with an estimated glomerular filtration rate (eGFR) less than 15 mls/min should be closely followed by their nephrologist and dialysis deferred until symptoms of uremia, volume overload, hyperkalemia or acidosis ...