<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=koi8-r">
<style type="text/css" style="display:none;"> P {margin-top:0;margin-bottom:0;} </style>
</head>
<body dir="ltr">
<div><span style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">Here are the correct qualifiers for the PERC rule. I have also attached the questions I used for the capture
the flag game. </span><br>
<br>
</div>
<table cellspacing="0" cellpadding="0" style="width: 339pt; border-collapse: collapse; border-spacing: 0px; box-sizing: border-box;">
<tbody>
<tr>
<td style="width: 277pt; height: 29.2pt; border-top: 1pt solid rgb(156, 190, 189); border-bottom: 1pt solid rgb(156, 190, 189); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
<div style="direction: ltr; text-align: left; margin-top: 0pt; margin-bottom: 0pt; margin-left: 0in; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<b class="elementToProof">Age < 50 </b></div>
</td>
<td style="width: 62pt; border-top: 1pt solid rgb(156, 190, 189); border-bottom: 1pt solid rgb(156, 190, 189); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
</td>
</tr>
<tr>
<td style="width: 277pt; height: 29.2pt; border-top: 1pt solid rgb(156, 190, 189); background-color: rgb(239, 244, 244); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
<div style="direction: ltr; text-align: left; margin-top: 0pt; margin-bottom: 0pt; margin-left: 0in; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<b>Heart Rate < 100</b></div>
</td>
<td style="width: 62pt; border-top: 1pt solid rgb(156, 190, 189); background-color: rgb(239, 244, 244); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
</td>
</tr>
<tr>
<td style="width: 277pt; height: 29.2pt; padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
<div style="direction: ltr; text-align: left; margin-top: 0pt; margin-bottom: 0pt; margin-left: 0in; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
O2 saturation ™ 95 %</div>
</td>
<td style="width: 62pt; padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
</td>
</tr>
<tr>
<td style="width: 277pt; height: 29.2pt; background-color: rgb(239, 244, 244); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
<div style="direction: ltr; text-align: left; margin-top: 0pt; margin-bottom: 0pt; margin-left: 0in; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
No hemoptysis</div>
</td>
<td style="width: 62pt; background-color: rgb(239, 244, 244); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
</td>
</tr>
<tr>
<td style="width: 277pt; height: 29.2pt; padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
<div style="direction: ltr; text-align: left; margin-top: 0pt; margin-bottom: 0pt; margin-left: 0in; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
No Estrogen Use</div>
</td>
<td style="width: 62pt; padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
</td>
</tr>
<tr>
<td style="width: 277pt; height: 29.2pt; background-color: rgb(239, 244, 244); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
<div style="direction: ltr; text-align: left; margin-top: 0pt; margin-bottom: 0pt; margin-left: 0in; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
No prior DVT/PE</div>
</td>
<td style="width: 62pt; background-color: rgb(239, 244, 244); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
</td>
</tr>
<tr>
<td style="width: 277pt; height: 29.2pt; padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
<div style="direction: ltr; text-align: left; margin-top: 0pt; margin-bottom: 0pt; margin-left: 0in; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
No unilateral leg swelling</div>
</td>
<td style="width: 62pt; padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
</td>
</tr>
<tr>
<td style="width: 277pt; height: 29.2pt; border-bottom: 1pt solid rgb(156, 190, 189); background-color: rgb(239, 244, 244); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
<div style="direction: ltr; text-align: left; margin-top: 0pt; margin-bottom: 0pt; margin-left: 0in; font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
No surgery/ trauma/hospitalization in the past 4 weeks</div>
</td>
<td style="width: 62pt; border-bottom: 1pt solid rgb(156, 190, 189); background-color: rgb(239, 244, 244); padding: 3.6pt 7.2pt; vertical-align: top; color: rgb(0, 0, 0);">
</td>
</tr>
</tbody>
</table>
<div class="elementToProof" style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div class="elementToProof" style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
If your patient meets all of the above criteria, then the likelihood of a PE is very low, and no further work up is necessary. IF even ONE of these is incorrect about your patient (for example they are 52, or their heart rate is > 100), then you cannot rule
out a PE and will need further testing. </div>
<div class="elementToProof" style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<div class="elementToProof" style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
Please reach out to me or let me know if you have any questions!</div>
<div class="elementToProof" style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
-Mrs. Corse</div>
<div id="Signature" class="elementToProof">
<div style="font-family: Aptos, Aptos_EmbeddedFont, Aptos_MSFontService, Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<br>
</div>
<p style="background-color: white;"><span style="font-family: Aleo; color: rgb(237, 125, 49);"><b>Sallie Corse, MPAS, PA-C</b></span></p>
<p style="background-color: white;"><span style="font-family: Calibri, sans-serif; font-size: 10pt; color: rgb(31, 73, 125);">Assistant Professor</span></p>
<p style="background-color: white;"><span style="font-family: Calibri, sans-serif; font-size: 10pt; color: rgb(31, 73, 125);">Campbell University PA Program</span></p>
<p style="background-color: white;"><span style="font-family: Calibri, sans-serif; font-size: 10pt; color: rgb(31, 73, 125);">PO Box 1090 Buies Creek, NC 27506</span></p>
<p style="background-color: white;"><span style="font-family: Calibri, sans-serif; font-size: 10pt; color: rgb(31, 73, 125);">216H Smith Hall</span></p>
<p style="background-color: white;"><span style="font-family: Calibri, sans-serif; font-size: 10pt; color: rgb(31, 73, 125);">(910)893-1918</span></p>
<p style="background-color: white;"><span style="font-family: Calibri, sans-serif; font-size: 11pt; color: rgb(31, 73, 125);">scorse@campbell.edu</span></p>
<p> </p>
</div>
</body>
</html>