Pulmonary Embolism Score - Medical Algorithm

Are you evaluating a patient in the Emergency Department for a pulmonary embolus?

Yes

Age of the patient

years

Does the patient have a history of pulmonary embolus (PE) or deep vein thrombosis (DVT)?

Yes

Has the patient had major surgery within past 4 weeks?

Yes

Pulse

beats per minute

PaCO2

PaO2

Does the chest X-ray show plate-like atelectasis?

Yes

Does the chest X-ray show elevation of the hemidiaphragm?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

The probability of a pulmonary embolus is

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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
Other Testing
- PERC Rule - Pulmonary Embolism Rule-Out Criteria (Charlotte Criteria)
Criteria For Diagnosis
- 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

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

The Clinical Score of Wicki et al for Determining the Probability of a Pulmonary Embolus in the Emergency Department (Geneva Score)

Purpose: To evaluate a patient in the Emergency Department for the likelihood of a pulmonary embolus using the Geneva score of Wicki et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10