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Dr. Yealy reviews some of the issues about acute pulmonary embolism in the emergency department. He discusses some of the diagnostic issues in emergency department pulmonary embolism evaluation, defines the co-existence of over and under treatment, reviews the data and fears surrounding admission vs. discharge of those with acute PE, and reviews the likely management systems that will or won't help. Dr. Rabih Chaer presents on catheter-directed thrombolysis and some interventional techniques to treat patients specifically with submassive pulmonary embolism.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Describe catheter based intervention for the management of Pulmonary Embolism
  • Define therapeutic challenges of emergency department pulmonary embolism care
  • Describe catheter based techniques in patients with high risk of bleeding

 Reading Resources:

  1. Kucher N, Boekstegers P, Muller OJ, et al. Randomized, controlled trial of ultrasound-assisted catheter-directed thrombolysis for acute intermediate-risk pulmonary embolism. Circulation. Jan 28 2014;129(4):479-486.
  2. Torbicki A, Perrier A, Konstantinides S, et al. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). European heart journal. Sep 2008;29(18):2276-2315.

Disclosures:

Dr. Yealy has reported no relevant relationships with any entities producing health care goods or services.

Dr. Chaer has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Consultant: Medtronic

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.125) continuing education units (CEU) which are equivalent to 1.25 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 1/5/16 | Last Modified On: 1/5/16 | Expires: 1/5/17

This course has been expired.