Pittsburgh, Penguin star, Pascal Dupuis has been diagnosed with a pulmonary embolism and will miss the next six months of the season. This is the second PE for Dupuis, the first occurring while he was rehabilitating a torn ACL at the beginning of the year. As physical therapists, we must always remember to medically screen for the potentially fatal disorder. Here is the clinical prediction rule for a pulmonary embolism.
CPR for Pulmonary Embolism
0-3 points is a low, 9% probability of PE
4-10 points is an intermediate, 28% probability of PE
>11 points is a high, 72% probability of PE
Predictor Variable Score
|Age 65 years or over||1|
|Previous DVT or PE||3|
|Surgery or fracture within 1 month||2|
|Active malignant condition||2|
|Unilateral lower limb pain||3|
|Heart rate 75 to 94 beats per minute||3|
|Heart rate 95 or more beats per minute||5|
|Pain on deep palpation of lower limb and unilateral oedema||4|
1. Le Gal G, Righini M, Roy RM, et al. Prediction of Pulmonary embolism in the emergency department: the revised Geneca score. Ann Internal Med. 2006;144:165-171.
2. Klok FA, Kruisman E, Spaan J, et al. Comparison of the revised Geneva score with the Wells rule for assessing clinical probability of pulmonary embolism. J Thromb Haemost. 2008;6:40-44.
3. Calisir C, Yavas US, Ozkan IR, et al. Performance of the Wells and revised Geneva scores for predicting pulmonary embolism. Eur J Emerg Med. 2009;16:49-52.