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Emergency Medicine Journal 2009;26:290-291; doi:10.1136/emj.2009.072124
© 2009 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 3. NORMAL PARTIAL PRESSURE OXYGEN IN ROOM AIR AS A RULE-OUT FOR PULMONARY EMBOLISM

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

Report by: Walid Alsalim, Consultant in Emergency Medicine

Search checked by: N Payne, Consultant in Emergency Medicine and K Hogg, Clinical Lecturer in Emergency Medicine

Institution: Ipswich Hospital, Wythenshawe Hospital and Salford Royal Hospital

THREE-PART QUESTION

In [a patient suspected of having an acute pulmonary embolism] can [a normal PO2 in room air] [rule out PE]?

CLINICAL SCENARIO

A 24-year-old woman attended the emergency department with a history of pleuritic chest pain, she smokes and takes the pill but otherwise is fit and well. Blood gases in room air were normal. You wonder whether normal arterial oxygen tension in room air is sufficient to rule out pulmonary embolism.

SEARCH STRATEGY

1950 to November week 3 2008 using the OVID interface.

{[exp pulmonary embolism/or pulmonary embol$.mp. or PE.mp. or exp thromboembolism/or pulmonary infarct$.mp.} and [(sensitiv: or diagnos:).mp. or accuracy.tw.] and [oxygen.mp. or exp Oxygen or PO2.mp]}

SEARCH OUTCOME

A total of 403 papers . . . [Full text of this article]


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