52. Venous Thromboembolism

  1. Jesse M. Pines1,2,
  2. Christopher R. Carpenter3,4,
  3. Ali S. Raja5,
  4. Jeremiah D. Schuur5

Published Online: 8 NOV 2012

DOI: 10.1002/9781118482117.ch52

Book Title

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Additional Information

How to Cite

Pines, J. M., Carpenter, C. R., Raja, A. S. and Schuur, J. D. (2012) Venous Thromboembolism, in Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118482117.ch52

Author Information

  1. 1

    Center for Healthcare Quality, George Washington University, Washington, DC, USA

  2. 2

    Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  3. 3

    Evidence Based Medicine, Washington University, St. Louis, MO, USA

  4. 4

    Division of Emergency Medicine, Barnes Jewish Hospital, Washington University, St. Louis, MO, USA

  5. 5

    Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Publication History

  1. Published Online: 8 NOV 2012
  2. Published Print: 7 NOV 2012

ISBN Information

Print ISBN: 9780470657836

Online ISBN: 9781118482117

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CHAPTER TOOLS

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Keywords:

  • hematology, ophthalmology, pulmonology, rheumatology, and geriatrics;
  • DVT and PE together as venous thromboemoblism (VTE);
  • accurate/timely identification of DVT/PE in ED, minimizing complications;
  • appropriate patient selection for diagnostic testing/risk stratification;
  • multiple tests for PE, D-dimer (ELISA) or whole-blood assay, chest CT, V/Q scan;
  • DVT, venous noncompressibility, for venous thrombosis using ultrasound;
  • venous ultrasound, accurate non-invasive tests for symptomatic DVT;
  • D-dimer assays, ELISA and whole-blood assays;
  • Wells criteria for pretesting of DVT and PE, and the The Geneva score;
  • risks/benefits of diagnostics, patient role in decision-making

Summary

This chapter contains sections titled:

  • Background

  • Clinical question

  • Comment

  • References

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