• Emerg Med J · Dec 2022

    Review

    Pulmonary embolism diagnosis: clinical assessment at the front door.

    • John Cafferkey, Philippa Serebriakoff, de WitKerstinKDepartment of Emergency Medicine, Queen's University, Kingston, Ontario, Canada.Department of Medicine, McMaster University, Ontario, Canada., Daniel E Horner, and Matthew James Reed.
    • Emergency Medicine Research Group Edinburgh (EMERGE), NHS Lothian, Edinburgh, UK.
    • Emerg Med J. 2022 Dec 1; 39 (12): 945951945-951.

    AbstractThis first of two practice reviews addresses pulmonary embolism (PE) diagnosis considering important aspects of PE clinical presentation and comparing evidence-based PE testing strategies. A companion paper addresses the management of PE. Symptoms and signs of PE are varied, and emergency physicians frequently use testing to 'rule out' the diagnosis in people with respiratory or cardiovascular symptoms. The emergency clinician must balance the benefit of reassuring negative PE testing with the risks of iatrogenic harms from over investigation and overdiagnosis.© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.

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