Pulmonary Embolism with Al Sacchettii, 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