The EM Educators Series: Pulmonary Embolism
This week’s EM Educator looks at pulmonary embolism.
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pulmonary embolism
Pulmonary embolism: Why do we miss it, and how do we get better?
Pulmonary embolism does not always present in a straightforward manner… How can we improve our evaluation of suspected PE?
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Ultrasound G.E.L. – Early Systolic Notching for Pulmonary Embolism
A focused echo can go a long way in a patient with a suspected pulmonary embolus (PE).
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Medical Malpractice Insights: Missed Appendicitis and Heparin Dosing in PE
This month’s medical malpractice insights includes 2 cases with basic reminders. First, don’t assume the best when the worst could be true. Second, if your hospital has specific written dosing protocols for certain drugs (e.g., anticoagulants), follow them.
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R.E.B.E.L. EM – The Critical Pulmonary Embolism Patient
Learn the latest updates on the critical pulmonary embolism patient
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US Probe: TAPSE
An easy-to-acquire and reproducible measure of right ventricular dysfunction that correlates with outcomes in patients with pulmonary embolism… what’s not to like?
Ultrasound G.E.L. – Multiorgan Ultrasound for Pulmonary Embolism
The emDOCs team is happy to be reposting Ultrasound G.E.L. content in their never ending coverage of evidence based ultrasonography (EBU). In this post, does combining multiple POCUS for PE make for a more accurate exam?
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Pulmonary embolus in the ED – Which patients require systemic thrombolytics?
Which patients should receive systemic thrombolytics for PE in the ED? What does the literature say? This post delves into this and more.
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Outpatient PE Management: Controversies, Pearls, and Pitfalls
Patients with pulmonary embolism have historically been admitted for anticoagulation. With the advent of new anticoagulants and risk stratification scores for adverse events, more patients may be eligible for outpatient treatment of PE. This post explores the evidence behind outpatient management of PE.
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Controversies in Pulmonary Embolism Imaging and Treatment of Subsegmental Thromboembolic Disease
Pulmonary embolism (PE) is classically a life-threatening diagnosis, often considered in the work-up of patients with chest pain or dyspnea. Initial mortality rates of missed, untreated PE has been quoted as high as 26%, based on a 1960 study. This disease is common, with 400,000 patients affected with nonfatal PE and another 200,000 patients in the U.S. dying each year from this disease. PE is the third most common cause of death in cardiovascular disease after myocardial infarction and stroke.