YEARS Algorithm for Suspected Pulmonary Embolism in Emergency Dept. ED

Evaluation

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

Yes

Does the patient show clinical signs of deep vein thrombosis?

Yes

Does the patient have hemoptysis?

Yes

Is pulmonary embolism considered to be the most likely diagnosis?

Yes

Plasma D-Dimer

ng/mL

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of clinical items present

The algorithm indicates that

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
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
Other Testing
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
Criteria For Diagnosis
- The Clinical Score of Wicki et al for Determining the Probability of a Pulmonary Embolus in the Emergency Department (Geneva Score)
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
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

Specialty

Emergency Medicine
Pulmonology

Objective

clinical diagnosis
including family history for genetics

ICD-10

I26 - Pulmonary embolism

YEARS Algorithm for Suspected Pulmonary Embolism in ED

Purpose: To evaluate a patient in the Emergency Department with a suspected pulmonary embolism using the YEARS algorithm of van der Hulle et al.