ED Decision Tools
YEARS Algorithm for Pulmonary Embolism
Rules out pulmonary embolism using 3 clinical items to set the D-dimer threshold — no Wells score required, and fewer CTPAs.
Are any YEARS items present?
YEARS Items (check all three)1. Clinical signs of DVT (leg swelling, pain on palpation)
2. Hemoptysis
3. PE is the most likely diagnosis
2. Hemoptysis
3. PE is the most likely diagnosis