,

i
•
j
I

I
TOPH.

Use of the PERC

1 (Pulmonary Embolism
III
Rule-out Criteria) rule
can significantly decrease
work-up for pulmonary
embolism.
To apply this rule, the clinician must first
use clinical gestalt to classify the patient as
low risk. The PERC rule, which consists
of eight clinical criteria including history,
physical and vital signs, can then be used. If
both of these criteria are met, then there is
less than a 2 percent risk that this patient has
a PE and no further work-up is needed.

PERC Rule 3
in :.
• Age < 50 years
sec
• Pulse < 100 bpm Tri(
• Sa02 > 94% of nor
myoc;,
• No unilateral leg swelling temie1
• No hemoptysis echo i
can de
• No recent trauma or the de
surgery eral v,
shock
• No prior PE or DVT dobut
• No hormone use ity ani
echos
but