Pulmonary Embolism with Al Sacchetti, MD

In this episode, Sam Ashoo, MD, and TR Eckler, MD, interview Al Sacchetti, MD, about the August 2023 Emergency Medicine Practice article, Evidence-Based Management of Pulmonary Embolism in the Emergency Department

Etiology/pathophysiology

Risk factors

Differential diagnosis

Prehospital care

ED history and physical exam

Diagnostic scoring systems

Pregnant patients 

Diagnostic studies

  • ECG
  • D-Dimer
  • Troponin & BNP
  • Chest x-ray
  • CT 
  • V/Q scans
  • MRI
  • US

Treatment

  • IV fluids
  • Anticoagulation
  • Vasopressors
  • Thrombolytics
  • Thrombectomy
  • ECMO

Disposition


Check out the clinical pathway at https://clinicalpathways.ebmedicine.net

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