Pulmonary embolism diagnosis part 1: clinical assessment at the front door.
diagnosis
emergency care systems
pulmonary embolism
thrombo-embolic disease
Journal
Emergency medicine journal : EMJ
ISSN: 1472-0213
Titre abrégé: Emerg Med J
Pays: England
ID NLM: 100963089
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
08
09
2021
accepted:
09
07
2022
pubmed:
23
7
2022
medline:
25
11
2022
entrez:
22
7
2022
Statut:
ppublish
Résumé
This first of two practice reviews addresses pulmonary embolism (PE) diagnosis considering important aspects of PE clinical presentation and comparing evidence-based PE testing strategies. A companion paper addresses the management of PE. Symptoms and signs of PE are varied, and emergency physicians frequently use testing to 'rule out' the diagnosis in people with respiratory or cardiovascular symptoms. The emergency clinician must balance the benefit of reassuring negative PE testing with the risks of iatrogenic harms from over investigation and overdiagnosis.
Identifiants
pubmed: 35868848
pii: emermed-2021-212000
doi: 10.1136/emermed-2021-212000
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
945-951Informations de copyright
© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: JC, PS, KdW and MJR have no conflicts of interest to declare. DEH was a topic expert for NICE NG158 and QS201, regarding the diagnosis and management of venous thromboembolic disease and venous thromboembolism in adults, respectively. DEH was also a coauthor on the BTS guidelines for the outpatient management of pulmonary embolism and the accompanying national quality standards.