A patient with a large pulmonary saddle embolus eluding both clinical gestalt and validated decision rules.

Authors

• Adam Hennessey
• Devy A Setyono
• Wayne Bond Lau
• Jason Matthew Fields

Publication/Presentation Date

6-1-2012

Abstract

We report a patient with chest pain who was classified as having low risk for pulmonary embolism with clinical gestalt and accepted clinical decision rules. An inadvertently ordered D-dimer and abnormal result, however, led to the identification of a large saddle embolus. This case illustrates the fallibility of even well-validated decision aids and that an embolism missed by these tools is not necessarily low risk or indicative of a low clot burden.

Volume

59

Issue

6

First Page

521

Last Page

523

ISSN

1097-6760

Published In/Presented At

Hennessey, A., Setyono, D. A., Lau, W. B., & Fields, J. M. (2012). A patient with a large pulmonary saddle embolus eluding both clinical gestalt and validated decision rules. Annals of emergency medicine, 59(6), 521–523. https://doi.org/10.1016/j.annemergmed.2011.11.016

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

22153968

Department(s)

Administration and Leadership

Document Type

Article