Table 1.

American College of Surgeons list of five

i) No CT for suspected appendicitis in children

ii) Avoid preoperative CXR if history/physical examination normal

iii) No colorectal screening in asymptomatic patients with less than 10 years life

expectancy

iv) Avoid whole body CT in minor/single system trauma

v) In stages I and II, breast cancer undertakes sentinel node biopsy before axillary lymph node staging