The diagnosis and management of pulmonary embolism.

@article{Toplis2020TheDA,
  title={The diagnosis and management of pulmonary embolism.},
  author={Emma Toplis and Gerri Mortimore},
  journal={British journal of nursing},
  year={2020},
  volume={29 1},
  pages={
          22-26
        }
}
Pulmonary embolism (PE) is a condition characterised by an obstruction of the pulmonary arterial system by one or more emboli. Advanced clinical practitioners are often faced with ruling out a diagnosis of PE in patients with non-specific symptoms such as dyspnoea and pleuritic chest pain, which can be fairly mild and therefore a diagnosis of PE easily missed. PEs can be a challenge to diagnose, especially in elderly people, since it can be difficult to differentiate their symptoms from other… 
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References

SHOWING 1-10 OF 24 REFERENCES
Diagnosis and Exclusion of Pulmonary Embolism.
Use of a Clinical Model for Safe Management of Patients with Suspected Pulmonary Embolism
TLDR
The optimal strategy for investigating patients with suspected pulmonary embolism should combine clinical assessment, ventilation-perfusion scanning, and venous ultrasonography of the lower extremities, and the group developed a useful clinical model by reviewing the literature and coming to a consensus on a scoring system.
Evaluation of Patients With Suspected Acute Pulmonary Embolism: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians.
TLDR
The overuse of some tests, particularly computed tomography and plasma d-dimer measurement, may not improve care while potentially leading to patient harm and unnecessary expense.
Advanced Management Options for Massive and Submassive Pulmonary Embolism
TLDR
The assessment and advanced management options for acute PE with focus on high- and intermediate-risk patients are reviewed, including patients with hemodynamic instability and/ or signs of right ventricular dysfunction.
CT and D-dimer testing are overused in patients with suspected pulmonary embolism, US college says
Patients with suspected acute pulmonary embolism (PE) should be stratified based on their likelihood of having a PE before having a D-dimer test or computer tomography (CT), guidelines have said.
Value of D-dimer levels for the diagnosis of pulmonary embolism: An analysis of 32 cases with computed tomography pulmonary angiography.
TLDR
D-dimer could be a simple, fast and inexpensive screening method for excluding a diagnosis of PE in patients with suspected PE at the Affiliated Hospital of Yan'an University.
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