VTE / ULTRASOUND REFERENCES

EMERGENCY DOCTOR-PERFORMED ULTRASOUND

Crisp JG, Lovato LM, Jang TB. Compression ultrasonography of the lower extremity with portable vascular ultrasonography can accurately detect deep venous thrombosis in the emergency department. Ann Emerg Med. 2010; 56:601-10

West et al. What Is the Accuracy of Emergency Physician–Performed Ultrasonography for Deep Venous Thrombosis? Ann Emerg Med, Vol 65, 6: 699 - 701

Zitek et al. Mistakes and pitfalls associated with two-point compression ultrasound for DVT. West J Emerg Med. 2016;17(2):201–208

FIBRINOLYTICS IN VTE

Choudhury, D. Consideration for thrombolysis for significant pulmonary embolism in haemodynamically stable patients—is it time for a rethink? Journal of Emergency and Critical Care Medicine. 2019 3:53

Long B, Koyfman A. Current controversies in thrombolytic use in pulmonary embolism. Journal of Emergency Medicine 2016 Vol. 51:1 37-44

Meyer et al. Fibrinolysis for patients with intermediate risk pulmonary embolus. NEJM 2014 370: 1402-11

Meyer et al. Fibrinolysis for patients with intermediate risk pulmonary embolus. NEJM 2014 370: 1402-11 - supplementary data

Clinical judgement vs clinical decision aids in PE work-up

The articles supporting the discussion on the role of clinical decision instruments to work up PE

DOCTORS IGNORE CDIS AND SCAN LOW RISK PATIENTS ANYWAY: Sud, R., Langfield, J. and Chu, G. (2013), Heightened clinical suspicion of pulmonary embolism and disregard of the d-dimer assay: a contemporary trend in an era of increased access to computed tomography pulmonary angiogram?. Intern Med J, 43: 1231–1236. doi:10.1111/imj.12225

"DO YOU THINK THIS IS REALLY A PE?" JUST AS GOOD AS WELLS?: Klok FA, Karami Djurabi R, Nijkeuter M, Huisman MV. Alternative diagnosis other than pulmonary embolism as a subjective variable in Wells clinical decision rule: not so bad after all. J Thromb Haemost 2007; 5: 1079–80.

MACHINES GO ON SCANNING SPREE: Wiener RS, Schwartz LM, Woloshin S. Time Trends in Pulmonary Embolism in the United States - Evidence of Overdiagnosis. Arch Intern Med. 2011;171(9):831–837. doi:10.1001/archinternmed.2011.178

SUBJECTIVE JUDGEMENT BETTER THAN DECISION INSTRUMENTS: Wiener RS, Schwartz LM, Woloshin S. Time Trends in Pulmonary Embolism in the United States - Evidence of Overdiagnosis. Arch Intern Med. 2011;171(9):831–837. doi:10.1001/archinternmed.2011.178

THE ORIGINAL WELLS: Wells PS, Ginsberg JS, Anderson DR, et al. Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med. 1998;129:997-1005.

THE ORIGINAL PERC: Kline JA, Mitchell AM, Kabrhel C, Richman PB, Courtney DM. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism. J Thromb Haemost 2004; 2: 1247–55.

GESTALT VS CDIS FOR ESTIMATING RISK OF PE: Penaloza, Andrea & Verschuren, Franck & Meyer, Guy & Quentin-Georget, Sybille & Soulie, Caroline & Thys, Frédéric & Roy, Pierre-Marie. (2013). Comparison of the Unstructured Clinician Gestalt, the Wells Score, and the Revised Geneva Score to Estimate Pretest Probability for Suspected Pulmonary Embolism. Annals of emergency medicine. 62. 10.1016/j.annemergmed.2012.11.002.

ON WATCHFUL WAITING: Keijzers, G., Cullen, L., Egerton-Warburton, D. and Fatovich, D. M. (2018), Don't just do something, stand there! The value and art of deliberate clinical inertia. Emergency Medicine Australasia. doi:10.1111/1742-6723.12922

D-DIMER >500? NO PROBLEM! THEY STILL DON'T HAVE A PE...van der Hulle, TomFogteloo, Anne J et al. (2017). Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study. The Lancet , Volume 390 , Issue 10091 , 289 - 297

ON FINDING THE COURAGE TO RESIST OVERDIAGNOSIS: Heath, I. Overdiagnosis - when good intentions meet vested interests - an essay. BMJ 2013;347:f6361 doi: 10.1136/bmj.f6361 (Published 25 October 2013)

IF YOU READ THE ABSTRACT YOU'D BE WRONG: The Impact of Clinical Decision Rules on Computed Tomography Use and Yield for Pulmonary Embolism: A Systematic Review and Meta-analysis. Wang, Ralph C. et al. Annals of Emergency Medicine , Volume 67 , Issue 6 , 693 - 701.e3