Methodology for a rapid protocol to rule out pulmonary embolism in the emergency department

Jeffrey A. Kline, Philip S. Wells

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

We propose an emergency department (ED) pulmonary embolism rule-out protocol based on pretest probability assessment coupled with either a negative D-dimer assay result or a negative D-dimer assay result plus a normal alveolar dead-space measurement. We examine the safety, efficiency, and feasibility of such a protocol, paying special attention to implicit and explicit strategies of pretest probability assessment among patients with suspected pulmonary embolism. Finally, we assess the potential effect of the proposed pulmonary embolism rule-out protocol on use of imaging resources and ED throughput.

Original languageEnglish (US)
Pages (from-to)266-275
Number of pages10
JournalAnnals of Emergency Medicine
Volume42
Issue number2
DOIs
StatePublished - Aug 1 2003

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Pulmonary Embolism
Hospital Emergency Service
Safety
fibrin fragment D

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Methodology for a rapid protocol to rule out pulmonary embolism in the emergency department. / Kline, Jeffrey A.; Wells, Philip S.

In: Annals of Emergency Medicine, Vol. 42, No. 2, 01.08.2003, p. 266-275.

Research output: Contribution to journalArticle

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