National Guideline Clearinghouse | Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism.

Guideline Title

Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism.

 

 

Bibliographic Source(s)

Fesmire FM, Brown MD, Espinosa JA, Shih RD, Silvers SM, Wolf SJ, Decker WW, American College of Emergency Physicians. Critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism. Ann Emerg Med 2011 Jun;57(6):628-52. [185 references] PubMed

 

Guideline Status

This is the current release of the guideline.
This guideline updates a previous version: Clinical policy: critical issues in the evaluation and management of adult patients presenting with suspected pulmonary embolism. Ann Emerg Med 2003 Feb;41(2):257-70. [145 references]
Clinical policies are scheduled for revision every 3 years; however, interim reviews are conducted when technology or the practice environment changes significantly.

full-text:
National Guideline Clearinghouse Clinical policy: critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism.

Ann Emerg Med. 2011 Jun;57(6):628-652.e75.

Critical issues in the evaluation and management of adult patients presenting to the emergency department with suspected pulmonary embolism.

American College of Emergency Physicians Clinical Policies Subcommittee on Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Suspected Pulmonary Embolism, Fesmire FM, Brown MD, Espinosa JA, Shih RD, Silvers SM, Wolf SJ, Decker WW; American College of Emergency Physicians Clinical Policies Committee.

Collaborators (25)

Decker WW, Fesmire FM, Brown MD, Diercks DB, Diner BM, Edlow JA, Godwin SA, Hahn SA, Hatten BW, Houghland JE, Huff JS, Lavonas EJ, Lenehan G, Mace SE, Melnick E, Nazarian DJ, Papa A, Promes SB, Shih RD, Silvers SM, Sloan EP, Wolf SJ, Seaberg DC, O'Connor RE, Whitson RR.

Source

American College of Emergency Physicians Clinical Policies Subcommittee on Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Suspected Pulmonary Embolism.

Abstract

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.

PMID:

21621092

[PubMed - indexed for MEDLINE]

Critical issues in the evaluation and manageme... [Ann Emerg Med. 2011] - PubMed - NCBI