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Suspected pulmonary embolism - stable โ ๏ธ ๐ซ
โ ๏ธ ๐ซ Suspected pulmonary embolism - stable
TIME-SENSITIVE โ assess severity and escalate if deteriorating.
๐ Recognise
Pleuritic pain, dyspnoea, tachycardia, hypoxia or unilateral leg swelling.
๐ First actions
Use pretest probability (Wells) and D-dimer only when appropriate; request CTPA or V/Q per NICE pathway.
๐งช Investigate / reassess
Assess anticoagulation bleeding risk, renal function and pregnancy status.
โ ๏ธ Escalation / pitfalls
A negative D-dimer is not appropriate to rule out PE in high clinical probability.
Source:NICE NG158 (reviewed 2026). Checked: 3 November 2026 for linked source; the entire topic has not undergone independent clinical sign-off. Follow your trust guidelines and senior advice. Not a standalone treatment protocol.