Advanced Search
Discover new calcs: choose 1 function + 1 more filter
Examples:
Click here to discover
Pulmonary Embolism
calculators for
Diagnosis
After you diagnose a PE, discover
Pulmonary Embolism
calculators for
Prognosis

    Calc Function

  • Calcs that help predict probability of a diseaseDiagnosis
  • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
  • Disease is diagnosed: prognosticate to guide treatmentPrognosis
  • Numerical inputs and outputsFormula
  • Med treatment and moreTreatment
  • Suggested protocolsAlgorithm

Disease

Select...

Specialty

Select...

Chief Complaint

Select...

Organ System

Select...

PERC Rule for Pulmonary Embolism

Rules out PE if no criteria are present and pre-test probability is ≤15%.

Management

  • In the setting of a low-risk patient who is not PERC negative, the physician should consider a d-dimer for further evaluation.
  • If the d-dimer is negative, and clinical gestalt determines a pre-test probability is <15% then, the patient does not require further testing for PE.
  • If the d-dimer is positive, further testing such as a CT-angiography or V/Q scan should be pursued.

Critical Actions

  • There is no need to apply the PERC rule to those patients who are not being evaluated for PE.
  • If the patient is considered low-risk, PERC may help avoid further testing.
  • If the patient is moderate or high risk then PERC can not be utilized. Consider d-dimer or imaging based on risk.
  • Consider pericardial disease in patients with pleuritic complaints as well.
Content Contributors