124 results
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... score (30-day PE-related ... Transient Hypotension, Shock ... #Pulmonary #Embolism ... stratification #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... ), RV Failure (PE ... Tamponade, Pulmonary Embolism ... amniotic or fat embolism ... guyton #curves #criticalcare
The Death Spiral: Increased RV Afterload (Acute PE) 
#Pathophysiology #PE #PulmonaryEmbolism #Embolism #DeathSpiral #Shock #RVDysfunction #RebelEM
Afterload (Acute PE ... Pathophysiology #PE ... PulmonaryEmbolism #Embolism ... #DeathSpiral #Shock
Ruling out Pulmonary Embolism - ADJUST-PE, PE in Pregnancy, and the PERC rule

- DenverEM
@DenverEMed

#Pulmonary #Embolism #VisualAbstract
out Pulmonary Embolism ... - ADJUST-PE, PE ... #Pulmonary #Embolism
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... OBSTRUCTIVE 2% • PE ... Cold and Dry #Shock ... #differential #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... - Massive PE ... High-risk submassive PE ... #Pulmonary #Embolism ... AcutePE #Management #CriticalCare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... Massive pulmonary embolism ... DrEricStrong #Shock ... Classification #Table #CriticalCare
D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
Acute Pulmonary Embolism ... suspicious for PE ... AcutePE #Pulmonary #Embolism ... Echocardiogram #CriticalCare
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Dilatation in Pulmonary Embolism ... suspicious for PE ... AcutePE #Pulmonary #Embolism ... Echocardiogram #CriticalCare
Diagnosis of Pulmonary Embolism in Pregnancy - EMCases Algorithm

Clinical Pearls:
 - Reproducible chest wall tenderness does
Diagnosis of Pulmonary Embolism ... not rule out PE ... - PE may mimic ... Algorithm #Pulmonary #Embolism ... Pregnancy #Diagnosis #PE