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Paucis Verbis: Pulmonary Embolism Clinical Prediction Rules
Posted Jun 03 2011 12:00am
"Should I get a D-Dimer test or CT chest angiogram on my patient with atypical chest pain to rule-out a pulmonary embolism?" This is a common question asked by emergency physicians on a routine basis.
Here are 3 clinical prediction rules: PERC, Wells, and Simplified Geneva Score. Personally, I've never used the Geneva Score, but it's worth looking at.
NOTE: These rules should be used with caution, because none of these scoring protocols are perfect. For instance, in a very recent publication in the
Journal of Thrombosis and Haemostasis
authors found that the PERC rule does not actually safely exclude PEs
. Big bummer for us clinicians.
Thanks to Dr. Kit Tainter (Mount Sinai PGY-4 EM resident) for coming up with the idea for this card!
other Paucis Verbis cards
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