Wells score, negative D-dimer test can rule out pulmonary embolism in primary care patients | ACP Hospitalist Weekly | ACP Hospitalist
A Wells score of 4 or lower and a negative qualitative D-dimer test result can safely and efficiently exclude pulmonary embolism, a study found.
Focus on: Diagnosing pulmonary embolism.
Researchers in Italy performed a systematic workup for pulmonary embolism (PE) in patients who visited the emergency department for a first episode of syncope and were admitted to one of 11 hospitals.
A pulmonary embolism can present in a variety of clinical scenarios; however, there are several features that are typical.
Web-based decision support tool may help determine safety of outpatient PE management | ACP Hospitalist Weekly | ACP Hospitalist
The tool was added to the patient care workflow in the ED after the diagnosis of pulmonary embolism (PE) was confirmed but before site-of-care decision making was completed.
Outpatient treatment of pulmonary embolism on the rise.
Updated guideline issued on antithrombotic therapy for VTE | ACP Hospitalist Weekly | ACP Hospitalist
The American College of Chest Physicians issued an updated guideline last week on antithrombotic therapy for venous thromboembolism (VTE), covering topics such as use of direct-acting oral anticoagulants and outpatient treatment of pulmonary
These cases and commentary, which address pulmonary medicine, are excerpted from ACP's Medical Knowledge Self-Assessment Program (MKSAP15).
Clinical decision support may be best strategy to reduce imaging for pulmonary embolism | ACP Hospitalist Weekly | ACP Hospitalist
In a systematic review of 17 studies, electronic clinical decision support was associated with a reduction in the use of imaging ranging between 8.3% and 25.4%, a rise in diagnostic yield of 3.4% to 4.4%, and an increase in appropriate ordering of