Step 1: Consciously consider the diagnosis
Step 2: Risk Stratify into low, intermediate, and high risk
Step 3: Choose appropriate testing based on pre-test probability
High Risk/Massive PE: Hemodynamic InstabilityIntermediate Risk/Submassive PE: Right Heart Strain without instability ; or PESI Class 3+Low Risk/Non-Massive PE: Everything else (no instability, no heart strain, PESI Class 1-2)High Risk/Massive PE: Thrombolytics and often thrombectomyIntermediate Risk/Submassive PE: Heparin and sometimes interventionLow Risk/Non-Massive PE: Either discharge with DOAC or admit with heparinThe post PODCAST: Pulmonary Embolism first appeared on האיגוד הישראלי לרפואה דחופה.