{"id":2359,"date":"2014-10-08T16:03:03","date_gmt":"2014-10-08T16:03:03","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/cirfes\/"},"modified":"2026-04-08T20:21:15","modified_gmt":"2026-04-08T20:21:15","slug":"cirfes","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/cirfes\/","title":{"rendered":"Criteria for Diagnostic of Fat Embolism Syndrome (FES)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Fat embolism syndrome, a condition characterized\u00a0<span style=\"line-height: 1.3em;\">by hypoxia, bilateral pulmonary infiltrates, and <\/span><span style=\"line-height: 1.3em;\">mental status change.<\/span><br \/>\n<!--more--><br \/>\n<strong>Gurd&#8217;s and Wilson&#8217;s criteria<\/strong><br \/>\nMajor criteria<\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\"> Axillary or subconjunctival petechiae<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> Hypoxaemia (PaO2 &lt;60 mm Hg; FIO2 = 0.4)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> Central nervous system depression disproportionate to hypoxaemia<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> Pulmonary oedema<\/span><\/li>\n<\/ul>\n<p><span style=\"line-height: 1.3em;\">Minor criteria<\/span><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\"> Tachycardia &gt;110 bpm<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> Pyrexia &gt;38.5 \u00b0C<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> Emboli present in the retina on fundoscopy<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> Fat present in urine<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> A sudden inexplicable drop in haematocrit or platelet values<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> Increasing ESR<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\"> Fat globules present in the sputum<\/span><\/li>\n<\/ul>\n<p><span style=\"line-height: 1.3em;\">For the diagnosis of fat embolism syndrome, at least one major and four minor criteria must be present.<\/span><\/p>\n<p><strong>Schonfeld&#8217;s criteria<\/strong><br \/>\nScore<\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">Petechiae<\/span><span style=\"white-space: pre;\"> (<\/span><span style=\"line-height: 1.3em;\">5 points)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">X-ray chest diffuse infiltrates<\/span><span style=\"white-space: pre;\"> (<\/span><span style=\"line-height: 1.3em;\">4 points)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Hypoxemia<\/span><span style=\"white-space: pre;\"> (<\/span><span style=\"line-height: 1.3em;\">3 points)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Fever<\/span><span style=\"white-space: pre;\"> (<\/span><span style=\"line-height: 1.3em;\">1 point)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Tachycardia<\/span> <span style=\"white-space: pre;\">(<\/span><span style=\"line-height: 1.3em;\">1 point)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Tachypnea<\/span> <span style=\"white-space: pre;\">(<\/span><span style=\"line-height: 1.3em;\">1 point)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Confusion<\/span> <span style=\"white-space: pre;\">(<\/span><span style=\"line-height: 1.3em;\">1 point)<\/span><\/li>\n<\/ul>\n<p><span style=\"line-height: 1.3em;\">Score &gt; 5 diagnosis FES<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Akhtar S. Fat embolism. Anesthesiol Clin. 2009 Sep;27(3):533-50.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19825491\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Glazer JL, Onion DK. Fat embolism syndrome in a surgical patient. J Am Board Fam Pract. 2001 Jul-Aug;14(4):310-3.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11458973\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Gurd AR, Wilson RI. The fat embolism syndrome. J Bone Joint Surg Br. 1974 Aug;56B(3):408-16.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/4547466\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Liu S, Wu X, Zheng Y, Zhang A, Dai C, Pan L, Tu Q, Dai W, Tang W, Zhang H. Fat embolism syndrome: Never give up &#8211; A case report and literature review. Medicine (Baltimore). 2025 Aug 8;104(32):e43864. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40797400\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Oct 14, 2014.<br \/>\nUp-date Apr 08, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[16,15,14,13,27,28,893,892,891,890,889,888,5,4,646],"class_list":["post-2359","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-embolism","tag-embolismo","tag-fat","tag-fes","tag-graso","tag-gurd","tag-schonfeld","tag-seg","tag-sindrome","tag-syndrome","tag-wilson"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2359"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2359\/revisions"}],"predecessor-version":[{"id":10740,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2359\/revisions\/10740"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}