Does this Ankle Need an X-ray? There's an App for That

The Ottawa Rules, a set of rules used around the world to help health professionals decide when to order x-rays and CT scans, are now available as a free mobile health app. Developed by emergency department physicians at The Ottawa Hospital and the University of Ottawa, the Ottawa Rules are evidence-based decision trees that help physicians determine whether a scan is needed for injured bones, cutting down on unnecessary radiation and wait times. The existing rules for ankle, knee and spine injuries have been bundled together in a mobile app to appeal to a new generation of wired doctors, nurses and paramedics.

"Studies have repeatedly shown that the Ottawa Rules reduce unnecessary use of x-rays and CT scans, reduce wait times and save money for the health-care system," said Dr. Ian Stiell, an emergency physician and research chair at The Ottawa Hospital, distinguished professor at the University of Ottawa and creator of the Ottawa Rules. "I am excited to be able to make the Ottawa Rules more accessible to clinicians in Canada and around the globe."

The app includes the Ottawa Knee Rule, the Ottawa Ankle Rules and the Canadian C-spine Rule, which were previously only available as posters or online. The Ottawa Rules have been validated by more than 20 studies, translated into several languages and adopted worldwide. For example, two of Dr. Stiell's rules made a list of the top five ways doctors in the United States can reduce unnecessary procedures, published in the prestigious journal JAMA Internal Medicine.

Seeing the potential of mobile technology to put the Ottawa Rules into the hands of health-care professionals, Dr. Stiell joined forces with The Ottawa Hospital mHealth Research team led by Dr. Kumanan Wilson, a specialist in general internal medicine and senior scientist at The Ottawa Hospital and professor at the University of Ottawa.

The team, which includes Cameron Bell, Julien Guerinet, Yulric Sequeria and Katherine Atkinson, also developed the popular ImmunizeCA app to help Canadians keep track of their immunizations and make informed decisions.

"I think it is great how a group of creative young people can take a world-class discovery like the Ottawa Rules and make it accessible to a new generation of physicians," said Dr. Wilson, who also holds a chair in public health innovation. "This is a great model for innovation in medical care."

Studies have repeatedly shown that the Ottawa Rules reduce unnecessary imaging and emergency room wait times, which allows patients to feel more comfortable while waiting to be seen by a clinician. The Rules also lead to significant savings for hospitals. However, the creators of the Rules still face the challenge of dissemination. The team hopes the new mobile and web formats, with images of bone structures and YouTube videos, will help the Rules become more widespread in emergency departments around the world.

The Ottawa Rules app can be downloaded from the Apple App store on any device compatible with iOS or the Google Play Store for Android operating systems. The app is meant for clinicians - not members of the general public.

The project was funded by The Ottawa Hospital Academic Medical Organization (TOHAMO).

About The Ottawa Hospital
The Ottawa Hospital is one of Canada's largest learning and research hospitals with over 1,100 beds, approximately 12,000 staff and an annual budget of over $1.2 billion. Our focus on research and learning helps us develop new and innovative ways to treat patients and improve care. As a multi-campus hospital, affiliated with the University of Ottawa, we deliver specialized care to the Eastern Ontario region, but our techniques and research discoveries are adopted around the world. We engage the community at all levels to support our vision for better patient care.

About the University of Ottawa
The University of Ottawa is home to over 50,000 students, faculty and staff, who live, work and study in both French and English. Our campus is a crossroads of cultures and ideas, where bold minds come together to inspire game-changing ideas. We are one of Canada's top 10 research universities - our professors and researchers explore new approaches to today's challenges. One of a handful of Canadian universities ranked among the top 200 in the world, we attract exceptional thinkers and welcome diverse perspectives from across the globe.

Most Popular Now

AI Catches One-Third of Interval Breast …

An AI algorithm for breast cancer screening has potential to enhance the performance of digital breast tomosynthesis (DBT), reducing interval cancers by up to one-third, according to a study published...

Great plan: Now We need to Get Real abou…

The government's big plan for the 10 Year Health Plan for the NHS laid out a big role for delivery. However, the Highland Marketing advisory board felt the missing implementation...

Researchers Create 'Virtual Scienti…

There may be a new artificial intelligence-driven tool to turbocharge scientific discovery: virtual labs. Modeled after a well-established Stanford School of Medicine research group, the virtual lab is complete with an...

From WebMD to AI Chatbots: How Innovatio…

A new research article published in the Journal of Participatory Medicine unveils how successive waves of digital technology innovation have empowered patients, fostering a more collaborative and responsive health care...

AI also Assesses Dutch Mammograms Better…

AI is detecting tumors more often and earlier in the Dutch breast cancer screening program. Those tumors can then be treated at an earlier stage. This has been demonstrated by...

RSNA AI Challenge Models can Independent…

Algorithms submitted for an AI Challenge hosted by the Radiological Society of North America (RSNA) have shown excellent performance for detecting breast cancers on mammography images, increasing screening sensitivity while...

AI could Help Emergency Rooms Predict Ad…

Artificial intelligence (AI) can help emergency department (ED) teams better anticipate which patients will need hospital admission, hours earlier than is currently possible, according to a multi-hospital study by the...

Head-to-Head Against AI, Pharmacy Studen…

Students pursuing a Doctor of Pharmacy degree routinely take - and pass - rigorous exams to prove competency in several areas. Can ChatGPT accurately answer the same questions? A new...

NHS Active 10 Walking Tracker Users are …

Users of the NHS Active 10 app, designed to encourage people to become more active, immediately increased their amount of brisk and non-brisk walking upon using the app, according to...

New AI Tool Illuminates "Dark Side…

Proteins sustain life as we know it, serving many important structural and functional roles throughout the body. But these large molecules have cast a long shadow over a smaller subclass...

The Human Touch of Doctors will Still be…

AI-based medicine will revolutionise care including for Alzheimer’s and diabetes, predicts a technology expert, but it must be accessible to all patients. Healing with Artificial Intelligence, written by technology expert Daniele...

Deep Learning-Based Model Enables Fast a…

Stroke is the second leading cause of death globally. Ischemic stroke, strongly linked to atherosclerotic plaques, requires accurate plaque and vessel wall segmentation and quantification for definitive diagnosis. However, conventional...