Key result
Pulmonary embolism presents with diverse clinical patterns in the emergency department, and early recognition using clinical probability scores and imaging is essential to reduce mortality.
This clinical update highlights the importance of early recognition, risk stratification using validated scores, and appropriate imaging for patients presenting with pulmonary embolism in the emergency department.
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Reinforces early use of validated scores and imaging in ED for suspected PE; leaves open optimization for atypical cases in future studies.
Pulmonary embolism (PE) is one of the most severe conditions encountered in the emergency department (ED) and one of the leading causes of cardiovascular morbidity and mortality, especially in patients presenting with hemodynamic instability, right ventricular dysfunction, or necessitating cardiopulmonary resuscitation. The early recognition and treatment of PE is essential, as many studies demonstrated that mortality rates drop significantly if adequate therapy is administered from the early stages. The aim of this update is to summarize the various patterns of PE presentations in the ED.
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Bărcan et al. (2017) conducted a review in Pulmonary embolism. Pulmonary embolism presents with diverse clinical patterns in the emergency department, and early recognition using clinical probability scores and imaging is essential to reduce mortality.
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