We’re back with part 2 of our PE overview! We continue our discussion with Dr. Kornegay about our hemodynamically stable patient that we diagnosed with subsegmental pulmonary emboli a few weeks ago. Dr. Kornegay talks about the literature on treating these patients, and the risks and benefits of anticoagulating these patients.
Then we dive into a case of a hemodynamically unstable pulmonary embolism patient, including management of resuscitation and treatment.
We discuss a little bit about the RUSH exam, find an ALiEM overview here.
Here are a link to a few of the papers referenced in this episode:
– Heparin/warfarin vs Rivaroxaban study http://www.nejm.org/doi/pdf/10.1056/NEJMoa1113572
– SSPE importance article from Blood – http://www.bloodjournal.org/content/bloodjournal/122/7/1144.full.pdf (pdf version)
– ALIEM discussion on this article and importance of SSPE – https://www.aliem.com/2013/subsegmental-pulmonary-embolisms-sspe-important/
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Annaleigh Boggess, MS4
Oregon Health and Science University