A selection of resources

Pulmonary Embolism

To rule out low risk

Check out YEARS criteria

For life threatening When to thrombolise?

Pulmonary embolism

The guidelines

NICE guidelines were update in march 2020. The changes which are most significant were the recommendation to move towards NOAC’s (which seems widely adopted and made life a lot easier for everyone). In diagnostics they now suggests using PERC as a rule out tool and the use of age adjusted d-dimer cut off’s.

It also has handy tips on dosing in special circumstances (e.g extremes of body-weight. The British Thoracic society guidelines also gives much more details regarding outpatient management however I think most would be only doing this within local guidelines anyway


Pulmonary Embolism

The FOAM Resources

Some of the finest free to access resources out there

St Emlyn’s

Excellent summary of the newest NICE guidelines

Resus rooms podcast

Wonderfully nuanced discussed of when to enact thrombolysis.

Emcrit

The internet book of critical care provides detailed breakdown of unwell patients with PE.

Name of website

Summary of why it is useful 

Pulmonary Embolism

Some useful papers

A meta-analysis from 2014

This paper from JAMA attempts to quantify risk of mortality and major bleeding. Interestingly they did not find increased risk of bleeding in those under 65.