In this episode, Dr Swapnil Pawar and Dr Madhuri Anupindi work through a case-based viva on acute pulmonary embolism: a 40-year-old with a CTPA-proven saddle PE after a long-haul flight. We cover: – Risk stratification using the 2019 ESC guidelines: sPESI, haemodynamic criteria, and the imaging and biomarker evidence of RV strain – The brand-new 2026 AHA/ACC guidelines and their A–E classification, including respiratory modifiers and SCAI shock stages – Advantages and disadvantages of the new AHA/ACC framework versus the ESC approach — a likely compare-and-contrast question for the upcoming Fellowship exam – Management of intermediate–high risk PE: anticoagulation (and why LMWH beats a heparin infusion), full-dose vs reduced-dose systemic thrombolysis (PEITHO, MOPETT), catheter-directed thrombolysis (HI-PEITHO), suction and surgical embolectomy, RV support strategies, and the role of the PERT team Detailed tables comparing the ESC and AHA/ACC classifications, plus the sPESI criteria, are in the show notes at critcareedu.com.au. Want to go deeper on the new guidelines? We break them down in full on the latest episode of the eCritCare Podcast.

In this episode, Dr Swapnil Pawar and Dr Madhuri Anupindi work through a case-based viva on acute pulmonary embolism: a 40-year-old with a CTPA-proven saddle PE after a long-haul flight. We cover: – Risk stratification using the 2019 ESC guidelines: sPESI, haemodynamic criteria, and the imaging and biomarker evidence of RV strain – The brand-new 2026 AHA/ACC guidelines and their A–E classification, including respiratory modifiers and SCAI shock stages – Advantages and disadvantages of the new AHA/ACC framework versus the ESC approach — a likely compare-and-contrast question for the upcoming Fellowship exam – Management of intermediate–high risk PE: anticoagulation (and why LMWH beats a heparin infusion), full-dose vs reduced-dose systemic thrombolysis (PEITHO, MOPETT), catheter-directed thrombolysis (HI-PEITHO), suction and surgical embolectomy, RV support strategies, and the role of the PERT team Detailed tables comparing the ESC and AHA/ACC classifications, plus the sPESI criteria, are in the show notes at critcareedu.com.au. Want to go deeper on the new guidelines? We break them down in full on the latest episode of the eCritCare Podcast.

In this episode, Dr Swapnil Pawar and Dr Madhuri Anupindi work through a case-based viva on acute pulmonary embolism: a 40-year-old with a CTPA-proven saddle PE after a long-haul flight. We cover: – Risk stratification using the 2019 ESC guidelines: sPESI, haemodynamic criteria, and the imaging and biomarker evidence of RV strain – The brand-new 2026 AHA/ACC guidelines and their A–E classification, including respiratory modifiers and SCAI shock stages – Advantages and disadvantages of the new AHA/ACC framework versus the ESC approach — a likely compare-and-contrast question for the upcoming Fellowship exam – Management of intermediate–high risk PE: anticoagulation (and why LMWH beats a heparin infusion), full-dose vs reduced-dose systemic thrombolysis (PEITHO, MOPETT), catheter-directed thrombolysis (HI-PEITHO), suction and surgical embolectomy, RV support strategies, and the role of the PERT team Detailed tables comparing the ESC and AHA/ACC classifications, plus the sPESI criteria, are in the show notes at critcareedu.com.au. Want to go deeper on the new guidelines? We break them down in full on the latest episode of the eCritCare Podcast.

#Epi 36 - ICU Fellowship Snippet - Pulmonary Embolism: Risk Stratification & the New AHA/ACC Guidelines

In this epsiode, we discuss the clinical presentation and management of a patient with ascending cholangitis.

In this epsiode, we discuss the clinical presentation and management of a patient with ascending cholangitis.

#Epi 30 - Ascending cholangitis with septic shock

In this episode, we discuss the clinical presentation and management of a patient presenting to regional ED with acute subdural haematoma.

In this episode, we discuss the clinical presentation and management of a patient presenting to regional ED with acute subdural haematoma.

# Epi 27 - Acute Subdural haematoma management

In this podcast, we discuss other 3 vivas covering management of submissive PE, esophageal perforation post TOE and falciparum malaria in the overseas returned travellers.

In this podcast, we discuss other 3 vivas covering management of submissive PE, esophageal perforation post TOE and falciparum malaria in the overseas returned travellers.

# Epi 5 - Fellowship Vivas - Submassive PE, Esophageal Perforation & Malaria

In this episode, I share my approach to neuro cases in the Fellowship exam.

In this episode, I share my approach to neuro cases in the Fellowship exam.

# Epi 4 - Hot Cases - How to Approach a Neuro Hot Case?

In this podcast, we discuss 3 fellowship vivas from previous exams.

In this podcast, we discuss 3 fellowship vivas from previous exams.

# Epi 3 - Fellowship Vivas - SAH, LA toxicity and Difficult Airway

In this episode, I share an approach towards fellowship hot cases presented in the CICM final fellowship exam.

In this episode, I share an approach towards fellowship hot cases presented in the CICM final fellowship exam.

# Epi 2 - Hot Cases  - How to Approach Hot Case?

Join us in this episode, where Maddi and I discuss previously asked 3 viva scenarios around 3 themes - Malignant hyperthermia, Failed extubation and Pancreatitis.

Join us in this episode, where Maddi and I discuss previously asked 3 viva scenarios around 3 themes - Malignant hyperthermia, Failed extubation and Pancreatitis.

# Epi 1 - Vivas - MH, Failed Extubation and Pancreatitis

This podcast series is created for Intensive care trainees who are appearing for their final fellowship exam. The idea is to discuss different vivas asked in previous College of Intensive Care exams. However, this series will be useful for all healthcare professionals working in Intensive care to sharpen their critical thinking.

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