EMDutch Review – Jan 2014

3 Feb

This month a short EMDutch Review. Currently I am doing the MNSHA Masterclass about “Acute Medical Emergencies” until April 2014. It takes a lot of time and since there are only 24h in a day there is less time for EMDutch.

Here we go!




In this study, these authors attempt to reduce testing for pulmonary embolism by creating a shared decision-making framework to discuss the necessity of testing with patients. After viewing the benefits and risks of CTPA, 36% of patients in this study stated they would hypothetically decline testing for PE.The authors conclude, based on a base case of 2.6 million possible PE evaluations annually, this strategy might save 100,000 CTPAs a year in the US. I think the approach these authors promote is generally on the right track.  The challenge, however, is the data used to discuss risks with patients.


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