11/24/2025
Dr. Omar Islam (Neuroradiology, Kingston Health Sciences Centre) and colleagues from Queen's University Health Sciences 2025 Choosing Wisely Canada project:
✅ Objective:
• To reduce or eliminate the use of or in asymptomatic patients with and a normal neurologic evaluation presenting to ED at
✅ Results:
• Only 4 out of 457 (0.88%) received neuroimaging which was not indicated
• Only 3 out of 457 (0.66%) received EEG which was not indicated
✅ Conclusion:
• Obtaining neuroimaging or EEG in asymptomatic patients with syncope and a normal neurologic evaluation presenting to ED at KHSC occurred at an extremely low rate
• Educational material can be distributed to the referring physicians on the appropriate use of neuroimaging and EEG in this patient population to provide positive feedback on current exemplary practice and to ensure sustainability of the Choosing Wisely Canada® recommendation