Altitude-Adjusted PERC Rule

Altitude-Adjusted PERC Rule Calculator

Altitude-Adjusted PERC Rule Calculator

Clinical use note: PERC is intended only for patients with a low pre-test probability of pulmonary embolism. This calculator is educational and should not replace clinician judgment, local protocols, or emergency assessment.

Patient Inputs

PERC Criteria

Enter values and click Calculate.

References

  1. Kline JA et al. Clinical criteria to prevent unnecessary diagnostic testing in emergency department patients with suspected pulmonary embolism. J Thromb Haemost. 2004.
  2. Kline JA et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost. 2008.
  3. Madsen T et al. Impact of altitude-adjusted hypoxia on the Pulmonary Embolism Rule-out Criteria. Am J Emerg Med. 2019.
  4. AAFP. Pulmonary Embolism Rule-Out Criteria: A Clinical Decision Rule That Works — notes that PERC should be used only when pre-test probability is low.
  5. REBEL EM. Altitude Adjusted PERC Oxygen Saturation — discussion of high-altitude oxygen saturation cutoffs and clinical limitations.

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