Episode 214: Acute Pulmonary Embolism
About this episode
This episode reviews the diagnosis, risk stratification, and management of acute pulmonary embolism in the emergency department.
We review the diagnosis, risk stratification, & management of acute pulmonary embolism in the ED. Hosts: Vivian Chiu, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Pulmonary_Embolism.mp3 Download One Comment Tags: Pulmonary Show Notes Core Concepts and Initial Approach Definition: Obstruction of pulmonary arteries, usually from a DVT in the proximal lower extremity veins (iliac/femoral), but may be tumor, air, or fat emboli. Incidence & Mortality: 300,000–370,000 cases/year in the USA, with 60,000–100,000 deaths annually. Mantra: “Don’t anchor on the obvious. Always risk stratify and resuscitate with precision .” Risk Factors: Broad, including older age, inherited thrombophilias, malignancy, recent surgery/trauma, travel, smoking, hormonal use, and pregnancy. Clinical Presentation and Risk Stratification Presentation: Highly variable, showing up as anything from subtle shortness of breath to collapse. Acute/Subacute: Dyspnea (most common), pleuritic chest pain, cough, hemoptysis, and syncope. Patients are likely tachycardic, tachypneic, hypoxemic on room air, and may have a low-grade fever. Chronic: Can mimic acute symptoms…
More episodes of Core EM - Emergency Medicine Podcast
- Episode 222: Local Anesthetic Systemic Toxicity (LAST)
- Episode 221: High-Output Heart Failure
- Episode 220: Post-ROSC Care
- Episode 219: Meningitis 2.0
- Episode 218: Sympathetic Crashing Acute Pulmonary Edema (SCAPE)
- Episode 217: Prehospital Blood Transfusion
Explore listener stats, chart rankings, contacts and more on the Core EM - Emergency Medicine Podcast podcast page.