The notification phone rings: “Cardiac arrest, intubated, ETA 3 minutes.” Take a breath. You look around and notice you have a loaded team! EMS rolls in and moves that patient to the stretcher. Your awesome nurses get IV access on the first try while you promptly assemble the LUCAS device Read more…
Pulmonary embolism (PE) is a common diagnosis made in the ED that is considered a “do not miss” diagnosis. Pulmonary embolism is a spectrum, which includes massive, sub-massive, and low-risk PE. Massive PEs are managed with thrombolytics, and low-risk PEs are discharged with anticoagulation, however, the disposition and management of Read more…
Note: The cases discussed in this post happened before COVID-19. Given that D-Dimer may be elevated in patients with COVID-19, the pretest probability of PE in your patient population may be elevated at this time. Thus, the assumptions derived from Kohn et al’s paper highlighted in this post may not Read more…