PERC Rule - Pulmonary Embolism Rule-Out Criteria-(Charlotte Criteria)

Are you evaluating a patient in the Emergency Department suspected of having a pulmonary embolism?

Yes

Does the clinician believe that the risk of pulmonary embolism is low?

Yes

Age of the patient

years

Pulse

beats per minute

Oxygen saturation in percent on room air by pulse oximetry (enter from 0 to 100)

Does the patient have?

• cough?

Yes

• hemoptysis?

Yes

• unilateral leg swelling?

Yes

• recent surgery or trauma?

Yes

• a history of prior pulmonary embolism (PE) or deep vein thrombosis (DVT)?

Yes

• oral hormone use?

Yes

• asthma, COPD or wheezing?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of risk factors present

Do the number of risk factors indicate that the risk of PE is very low (negative)?

Value of X

Probability of PE by the logistic regression model

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- YEARS Algorithm for Suspected Pulmonary Embolism in ED
Laboratory Tests
- Prediction of Clinical Outcome After Pulmonary Embolism Using Pro-Brain Natriuretic Peptide (preBNP) and Troponin T Concentrations
- Risk Models of Binder et al for Acute Pulmonary Embolism Based on Echocardiography, NT-proBNP and Troponin T
Criteria For Diagnosis
- The Clinical Score of Wicki et al for Determining the Probability of a Pulmonary Embolus in the Emergency Department (Geneva Score)
Severity, Prognosis, Stage
Complications

Therapy

Selection
- Pulmonary Embolism Severity Index (PESI) of Aujesky et al
Surgery
- Pulmonary Embolism with Orthopedic Cement Following Surgery

Monitoring

Adverse Effects
- Pulmonary Embolism with Orthopedic Cement Following Surgery

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)

Purpose: To evaluate a patient in the Emergency Department (ED) with suspected pulmonary embolism (PE) using the PERC rule of Kline et al.

Evaluation

Results

Please fill out required fields.

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Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10