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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

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sábado, 10 de diciembre de 2016

PESIT Trial


Citation: [Peer-Reviewed, Web Publication] Kline J , Courtney DM (2016, December 9). The PESIT Trial: Not all first time syncope needs testing for PE [NUEM Blog]. 
Retrieved from http://www.nuemblog.com/blog/the-pesit-trial
"Bottom Line:
In elderly syncope patients with some combination of: tachycardia, tachypnea, hypotension, active cancer, and perhaps especially those without a clear suspected cause of syncope, PE should be a consideration that warrants testing. Perhaps this should be considered even when patients do not have the more traditional symptoms of PE such as dyspnea or chest pain. However, we would caution clinicians NOT to interpret this study as rationale for widespread testing on all or nearly all US ED syncope patients. The outcome of such a simplistic interpretation of this study would undoubtedly result in further radiation and contrast burden and harms for our patients."