Why the study?
An organized approach to the interhospital transfer of critically ill pulmonary embolism patients is an unmet need in current care, as most institutions lack advanced resources or pulmonary embolism response team expertise.
This review outlines an organized approach to the interhospital transfer of critically ill patients with acute pulmonary embolism, highlighting the role of PERT and structured transfer protocols.
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PERTs may streamline advanced PE therapies where available; leaves open standardized outcome benefits across institutions.
Acute pulmonary embolism (PE) is associated with significant morbidity and mortality. The management paradigm for acute PE has evolved in recent years with wider availability of advanced treatment modalities ranging from catheter-directed reperfusion therapies to mechanical circulatory support. This evolution has coincided with the development and implementation of institutional pulmonary embolism response teams (PERT) nationwide and internationally. Because most institutions are not equipped or staffed for advanced PE care, patients often require transfer to centers with more comprehensive resources, including PERT expertise. One of the unmet needs in current PE care is an organized approach to the process of interhospital transfer (IHT) of critically ill PE patients. In this review, we discuss medical optimization and support of patients before and during transfer, transfer checklists, defined roles of emergency medical services, and the roles and responsibilities of referring and receiving centers involved in the IHT of acute PE patients.
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Rali et al. (2021) studied this question.
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