| Critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism. | |
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MedLine Citation:
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PMID: 21621092 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This clinical policy from the American College of Emergency Physicians is the revision of a 2003 clinical policy on the evaluation and management of adult patients presenting with suspected pulmonary embolism (PE).(1) A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) Do objective criteria provide improved risk stratification over gestalt clinical assessment in the evaluation of patients with possible PE? (2) What is the utility of the Pulmonary Embolism Rule-out Criteria (PERC) in the evaluation of patients with suspected PE? (3)What is the role of quantitative D-dimer testing in the exclusion of PE? (4) What is the role of computed tomography pulmonary angiogram of the chest as the sole diagnostic test in the exclusion of PE? (5) What is the role of venous imaging in the evaluation of patients with suspected PE? (6) What are the indications for thrombolytic therapy in patients with PE? Evidence was graded and recommendations were given based on the strength of the available data in the medical literature. |
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Authors:
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Francis M Fesmire; Michael D Brown; James A Espinosa; Richard D Shih; Scott M Silvers; Stephen J Wolf; Wyatt W Decker; |
Publication Detail:
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Type: Journal Article; Practice Guideline |
Journal Detail:
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Title: Annals of emergency medicine Volume: 57 ISSN: 1097-6760 ISO Abbreviation: Ann Emerg Med Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-05-30 Completed Date: 2011-07-29 Revised Date: 2012-01-26 |
Medline Journal Info:
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Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 628-652.e75 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Decision Support Techniques Emergency Service, Hospital* Female Fibrin Fibrinogen Degradation Products / analysis Fibrinolytic Agents / therapeutic use Humans Male Middle Aged Pulmonary Embolism / diagnosis*, drug therapy, radiography, therapy Risk Factors Thrombolytic Therapy Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Fibrin Fibrinogen Degradation Products; 0/Fibrinolytic Agents; 0/fibrin fragment D |
| Investigator | |
Investigator/Affiliation:
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Wyatt W Decker / ; Francis M Fesmire / ; Michael D Brown / ; Deborah B Diercks / ; Barry M Diner / ; Jonathan A Edlow / ; Steven A Godwin / ; Sigrid A Hahn / ; Benjamin W Hatten / ; John E Houghland / ; J Stephen Huff / ; Eric J Lavonas / ; Gail Lenehan / ; Sharon E Mace / ; Edward Melnick / ; Devorah J Nazarian / ; AnnMarie Papa / ; Susan B Promes / ; Richard D Shih / ; Scott M Silvers / ; Edward P Sloan / ; Stephen J Wolf / ; David C Seaberg / ; Robert E O'Connor / ; Rhonda R Whitson / |
| Comments/Corrections | |
Comment In:
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Ann Emerg Med. 2012 Jan;59(1):84-5
[PMID:
22177687
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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