Emergency Medicine Cases - Published February 2016 by Anton Helman & Salim Rezaie
"We work up a lot of patients for pulmonary embolism. Most of them are not very sick. Dr. Salim Rezaie of R.E.B.E.L. EM tells his Best Case Ever of a Low Risk Pulmonary Embolism that begs us to consider a work-up and management plan that we might not otherwise consider. With new CHEST guidelines suggesting that subsegmental pulmonary embolism need not be treated with anticoagulants in every patient, exceptions to the Well’s Score and PERC rule to help guide work-ups, the adaptation of outpatient management of pulmonary embolism, and the option of NOACs rather than warfarin for treatment, the management of pulmonary embolism in 2016 has evolved considerably. In which situations would you treat subsegmental pulmonary embolism? How comfortable are you sending patients home with pulmonary embolism? How does the patient’s values play into these decisions? Listen to Dr. Rezaie provide an insightlful perspective on these important issues and much more…
