Síguenos en Twitter     Síguenos en Facebook     Síguenos en Google+     Síguenos en YouTube     Siguenos en Linkedin     Correo Grupsagessa     Gmail     Yahoo Mail     Dropbox     Instagram     Pinterest     Slack     Google Drive     Reddit     StumbleUpon     Print

SOBRE EL AUTOR **

Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Cranial Nerve VI Palsy Emergency

Buscar en contenido

Contenido:

sábado, 26 de diciembre de 2015

Embolismo pulmonar: paciente inestable

emDocs - December 26, 2015 - Author: Troha D - Edited by: Koyfman A and Long B
"In the emergency department, we are responsible for identifying and treating life-threatening conditions. When a patient presents with acute onset dyspnea, chest pain, syncope, or hemoptysis, the diagnosis of pulmonary embolism (PE) often comes to mind; however, PE may escape prompt diagnosis when the clinical signs and symptoms are not as specific. Systemic arterial hypotension is a rare but life-threatening presentation of acute PE. The PIOPED II database suggests that only 8% of patients present with overt circulatory collapse. Even in these patients, respiratory distress is present in 91%.
Massive (high risk) PE is defined as systolic BP less than 90 mm Hg or a systolic pressure drop greater than or equal to 40 mm Hg for greater than 15 minutes, not due to new-onset arrhythmia, hypovolemia, or sepsis. It should be noted that the word “massive” does not refer to clot burden, but refers to the presence of shock in the setting of acute PE. Massive PE carries a high mortality rate, likely somewhere around 30-50%. Because of this, aggressive measures must be taken to resuscitate and stabilize these patients."
Screen Shot 2015-12-22 at 12.05.31 PM
http://www.emdocs.net/pulmonary-embolism-management-of-the-unstable-patient/