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

@article{Kline2003MethodologyFA,
  title={Methodology for a rapid protocol to rule out pulmonary embolism in the emergency department.},
  author={Jeffrey A. Kline and Philip S Wells},
  journal={Annals of emergency medicine},
  year={2003},
  volume={42 2},
  pages={266-75}
}
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… CONTINUE READING

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References

Publications referenced by this paper.
Showing 1-10 of 47 references

Diagnostic accuracy of a bedside D-dimer assay and alveolar dead-space measurement for rapid exclusion of pulmonary embolism: a multicenter study

JA Kline, EG Israel, BJ O’Neil
JAMA • 2001
View 4 Excerpts
Highly Influenced

Impact of a clinical decision rule and a Ddimer plus alveolar deadspace measurement to ruleout pulmonary embolism in an urban emergency department [ abstract ]

TG McGinn, GH Guyatt, PC Wyer
Acad Emerg Med • 2003

Five uneasy pieces about pre-test probability

Journal of General Internal Medicine • 2002

Normal Ddimer levels in emergency department patients suspected of acute pulmonary embolism

JA Kline, S Meek, D Boudrow
J Am Coll Cardiol • 2002

The role of Ddimer and Well ’ s criteria in patients with suspected pulmonary embolism [ abstract ]

Kruip MJHA, MJ Slob, Schijen JHEM
Acad Emerg Med • 2002

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