Letters When a test is too good

Scan the legs, not the lungs, in low risk patients with suspected pulmonary embolism

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f5115 (Published 20 August 2013) Cite this as: BMJ 2013;347:f5115
  1. Jonathan R Benger, professor of emergency care1
  1. 1Emergency Department, University Hospitals Bristol NHS Foundation Trust, Bristol Royal Infirmary, Bristol BS2 8HW, UK
  1. Jonathan.Benger{at}UHBristol.nhs.uk

The BMJ’s Too Much Medicine campaign is welcome,1 although the challenges associated with overinvestigation and overdiagnosis in suspected pulmonary embolism have long been familiar to emergency physicians.2 In patients with possible pulmonary embolism and normal vital signs, the pulmonary embolism rule-out criteria identify a group of patients at …

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