Why the study?
Pulmonary embolism presents with a range of severity, making prognostic risk stratification important for efficacious and safe management.
This review provides a comprehensive overview of risk stratification and management strategies for pulmonary embolism in the emergency department, emphasizing tailored approaches based on hemodynamic stability and validated risk scores.
May guide ED PE protocols using existing scores and DOACs; leaves open prospective validation of HESTIA thresholds.
Pulmonary embolism (PE) can present with a range of severity. Prognostic risk stratification is important for efficacious and safe management. This second of two review articles discusses the management of high-, intermediate- and low-risk PE. We discuss strategies to identify patients suitable for urgent outpatient care in addition to identification of patients who would benefit from thrombolysis. We discuss specific subgroups of patients where optimal treatment differs from the usual approach and identify emerging management paradigms exploring new therapies and subgroups.
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Serebriakoff et al. (2022) studied this question.
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