A 25-year-old patient presents to the emergency room with acute chest pain. Could her history of Takayasu arteritis have something to do with her symptoms?
The presence of a multidisciplinary pulmonary embolism response team (PERT) was associated with a host of outcome benefits, including reduced mortality, in the most robust study of PERT-related outcomes to date.
Effective PERTs reduce mortality, and the growth of these teams is a good example of how multidisciplinary, coordinated, team-based care can work in a complex setting.
Which patients with submassive embolism would benefit from thrombolysis, and which patients require only anticoagulant therapy? The answer lies in finding the balance between the potential benefit of thrombolytic therapy — preventing death or hemodynamic collapse — and the numerically low but potentially catastrophic risk of intracranial bleeding.
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For severe pulmonary embolism, a virtual consult among a multidisciplinary team is far better than a single expert making a slew of complex decisions. Here’s how our new response team is making these consults a speedy reality.