Based on Master Nickson’s comments on the PE debate, you could argue this would be an acceptable paradigm. Using Wells as your entry forces gestalt into the equation. Since Wells’ low risk arguably gets you somewhere between 1-6% in ED populations, PERC should be acceptable.
Clinical Guidelines from ACP include intermediate d-dimers, age-adjusted d-dimer (Ann Intern Med 2015;163:701)
Latest posts by Scott Weingart (see all)
- Wee – Avoiding Disaster – Endotracheal Tube Cuff Leaks and Tube Exchanges - August 28, 2016
- Podcast 180 – On Argumentation, Fallacies, and Twitter Misery - August 22, 2016
- Podcast 179 – An Interview with Gary Klein - August 7, 2016