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Pulmonary embolism

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Pulmonary embolism

FOAMed Wiki, Last Updated 1/23/25

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Guidelines

Links	Source	Year
Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report	CHEST	2021
Update on Antithrombotic Therapy for VTE Disease	JournalFeed $	2021
Antithrombotic Therapy for VTE Disease: Compendium and Review of CHEST Guidelines 2012-2021	CHEST	2024
Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Suspected Acute Venous Thromboembolic Disease	Annals of Emergency Medicine	2018

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Core Review

Links	Source	Year
🎧 CRACKCast E088 – Pulmonary Embolism & Deep Venous Thrombosis	CanadiEM	2024
🎧 C3: Pulmonary Embolism	EM:Rap $	2018
Evidence-Based Management of Pulmonary Embolism in the Emergency Department	EBMedicine $	2023
Pulmonary Embolism Challenges in Diagnosis Part 1	EM Cases	2016
Pulmonary Embolism Challenges in Diagnosis Part 2	EM Cases	2016
Pulmonary embolism diagnosis & treatment of low-risk PE	IBCC	2022
Pulmonary embolism: Why do we miss it, and how do we get better?	emDocs	2019

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Sub-massive / Massive PE

Physiology	Source	Year
Deranged Physiology Pulmonary Embolism	Deranged Physiology
🎧 Hemodynamic Management of Massive Pulmonary Embolism	EM:Rap $	2019
Submassive & Massive PE	IBCC	2019
The Critical Pulmonary Embolism Patient	RebelEM	2020
Management of submassive and massive PE	First10EM	2025

Treatment	Source	Year
Inhaled NO for submassive PE: iNOPE or iYEP?	Pulmcrit	2019
Lytics - PEITHO Trial: Fibrinolysis for Intermediate-Risk Pulmonary Embolism	ALiEM	2014
Lytics - PEITHO Trial: Long-term follow-up study	SGEM	2017
Lytics - Should we monitor fibrinogen during full- & half-dose PE thrombolysis?	Pulmcrit	2019
Thrombolytics - PE Thrombolysis in 2018	EM Cases	2018
VA ECMO for Massive PE + Cardiac Arrest	JournalFeed $	2021

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Decision Tools & D-Dimer

Decision Tools	Source	Year
4-Level Pulmonary Embolism Clinical Probability Score	MDCalc
Geneva Score (Revised) for Pulmonary Embolism	MDCalc
Hestia Criteria for Outpatient Pulmonary Embolism Treatment	MDCalc
PERC Rule for Pulmonary Embolism	MDCalc
Pulmonary Embolism Severity Index (PESI)	MDCalc
Well’s Criteria for Pulmonary Embolism	MDCalc
YEARS Algorithm for Pulmonary Embolism (PE)	MDCalc

Decision Tools	Source	Year
Age Adjusted D-Dimer Part 1	CoreEM	2015
Age Adjusted D-Dimer Part 2	CoreEM	2017
Wells + Dimer to Rule Out PE	RebelEM	2014
Working up PE in the ED: Negative Likelihood Ratios and Fagan Nomograms	Clinical Monster	2020
YEARS – Simplified Diagnostic Approach to PE	RebelEM	2018
YEARS - Diagnosing pulmonary embolism in pregnancy	SGEM	2019
YEARS - Pregnancy-Adapted YEARS Algorithm for PE – Ready for Prime Time?	RebelEM	2019
YEARS - PE in Pregnancy	JournalFeed $	2019
The Ideal PE Rule-Out? RCT – PERC+YEARS+Age-Adjusted D-Dimer	JournalFeed $	2022
The Pragmatic Combination of YEARS Score and Age-Adjusted D-Dimer	RebelEM	2021

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Syncope and other literature review

Syncope	Source	Year
Does Syncope in PE Mean Increased Mortality?	JournalFeed $	2020
The Prognostic Value of Syncope on Mortality in Patients With Pulmonary Embolism	Annals of EM $	2020
PESIT Study - Syncope and PE	EM:Rap $	2016
PESIT Study - Prevalence of PE in patients with syncope	St. Emlyn’s	2016
PESIT Study - The Case of the Incidental Bystander	Emcrit	2016
PESIT Study – Do All Patients with 1st Time Syncope Need a Pulmonary Embolism Workup?	RebelEm	2016
PESIT Study: PE Prevalent in Syncope	JournalFeed $	2016

Other Literature Topics	Source	Year
1st 48 Hours of PE Management – How Good Is Unfractionated Heparin?	RebelEM	2024
Apixaban or Rivaroxaban – Which Is Best for VTE?	JournalFeed $	2022
Does Negative CTPA Rule Out High Pretest Probability PE?	JournalFeed $	2018
Heart Rate and Mortality in Acute PE	JournalFeed $	2022
LMWH in Cancer-Related VTE - CLOT Study	RebelEM	2020
PE and Stroke Risk for Transgender Patients	JournalFeed $	2018
PE risk in severe exertional dyspnea	First10EM	2018
Prediction of Early Major Bleeding in Acute PE	JournalFeed $	2022
Risk of Clot When Imaging Says, “Not.”	emDocs	2020
Subsegmental PE – Small But Significant?	JournalFeed $	2022
Treating Low Risk PE at Home – The LoPE Study	JournalFeed $	2020
What to do about subsegmental pulmonary embolism?	First10EM	2021

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POCUS and Other Imaging

POCUS	Source	Year
5 min sono - R heart strain	Core Ultrasound	2021
5 min sono - R heart function	Core Ultrasound	2020
5 min sono - 60/60 sign for acute PE	Core Ultrasound	2020
Tricuspid Annular Pulmonary Systolic Excursion TAPSE	Clinical Monster	2020
Diagnosis of Right Ventricular Strain with Transthoracic Echocardiography	RebelEM	2014
Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs	AEM	2019

Other Imaging	Source	Year
Chest X-ray in Pulmonary Embolism	EM:Rap $
Right Ventricular Dysfunction in Acute PE – Can CT Help?	JournalFeed $	2021

‣

ECG

Link	Source	Year
Cases tagged pulmonary embolism	Dr. Smiths ECG Blog
ECG Changes in Pulmonary Embolism	LITFL	2020
How helpful is S1Q3T3 for diagnosing PE?	Clinical Monster	2017
ECG findings associated with early clinical deterioration in acute pulmonary embolism	AEM	2022
ECG in Pulmonary Embolism	EM:Rap $
New ECG Changes in Patients Diagnosed with Pulmonary Embolism	Journal of EM %	2017

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