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Emergency Medicine Journal 2009;26:289-290; doi:10.1136/emj.2009.072116
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 2. DIAGNOSTIC UTILITY OF CHEST X RAY FOR INVESTIGATION OF PULMONARY EMBOLISM

The first 150 words of the full text of this article appear below.

Report by: Gerard Brown, Consultant Emergency Medicine

Search checked by: Kerstin Hogg, Clinical Lecturer Emergency Medicine

Institution: Stepping Hill Hospital and Salford Royal Hospital

THREE-PART QUESTION

In [a patient presenting with features suggestive of pulmonary embolus] what is [the diagnostic utility of chest x ray] in [stratifying risk of pulmonary embolus]?

CLINICAL SCENARIO

A 30-year-old man presents to the department with a spontaneous onset of atraumatic pleuritic chest pain. He is in a low-risk group clinically. You wonder whether a chest x ray (CXR) will help safely to exclude a pulmonary embolus.

SEARCH STRATEGY

Medline 1950 to November week 3 2008 using the OVIDSP interface.

[exp Pulmonary Embolism OR exp Thromboembolism OR PE.mp OR pulmonary infarct$.mp OR pulmonary embol$.mp] AND [exp Radiography, Thoracic OR chest Xray.mp OR Chest X-Ray.mp OR CXR.mp OR chest radiograph$.mp] LIMIT to human.

SEARCH OUTCOME

A total of 727 papers was found. To be included, the study had to report sufficient data . . . [Full text of this article]


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Official journal of British Association for Immediate Care: BASICS, Faculty of Pre-Hospital Care, Irish Society for Immediate Care and Swedish Society for Emergency Medicine: SweSEM

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