Global Emergency Medicine Journal Club: A Social Media Discussion About the Age- Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism Trial  Salim.

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Global Emergency Medicine Journal Club: A Social Media Discussion About the Age- Adjusted D-Dimer Cutoff Levels to Rule Out Pulmonary Embolism Trial  Salim R. Rezaie, MD, Anand Swaminathan, MD, MPH, Teresa Chan, MD, Sam Shaikh, DO, Michelle Lin, MD  Annals of Emergency Medicine  Volume 65, Issue 5, Pages 604-613 (May 2015) DOI: 10.1016/j.annemergmed.2015.02.024 Copyright © 2015 American College of Emergency Physicians Terms and Conditions

Figure 1 Geographic distribution of readers who viewed the Global Emergency Medicine Journal Club during the first 14 days of discussion. Annals of Emergency Medicine 2015 65, 604-613DOI: (10.1016/j.annemergmed.2015.02.024) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

Figure 2 Tweet by Jeff Kline, MD, about D-dimer assay normalization. Annals of Emergency Medicine 2015 65, 604-613DOI: (10.1016/j.annemergmed.2015.02.024) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

Figure 3 Tweet by Benjamin Zabar, MD, on D-dimer tests in the elderly. Annals of Emergency Medicine 2015 65, 604-613DOI: (10.1016/j.annemergmed.2015.02.024) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

Figure 4 Tweet by Jeff Kline, MD, about diagnosing PE using a proposed algorithm. Annals of Emergency Medicine 2015 65, 604-613DOI: (10.1016/j.annemergmed.2015.02.024) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

Figure 5 A proposed diagnostic algorithm for pulmonary embolism, divided into low, moderate, and high clinical pretest probabilities, suggested by Kline (@KlineLab). RGS, Revised Geneva score; PERC, pulmonary embolism rule-out criteria; LMWH, low molecular weight heparin; PE, pulmonary embolism; GFR, glomerular filtration rate; V/Q, ventilation/perfusion; CTPA, computed tomography pulmonary angiogram; NI, normal. Annals of Emergency Medicine 2015 65, 604-613DOI: (10.1016/j.annemergmed.2015.02.024) Copyright © 2015 American College of Emergency Physicians Terms and Conditions