RESPIRATORY
PULMONARY EMBOLUS
PromptHereditary risk factors for PE
ResponseProthrombin gene mutation
Antithrombin iii deficiency
Protein C deficiency
Protein S deficiency
Factor V leiden mutation
Antithrombin iii deficiency
Protein C deficiency
Protein S deficiency
Factor V leiden mutation
PromptDefine massive PE
ResponseAcute PE + haemodynamic compromise
SBP <90 for >15 mins
Vasopressor requirement
pulseless
SBP <90 for >15 mins
Vasopressor requirement
pulseless
PromptSubmassive PE
ResponseAcute PE without haemodynamic compromise but
Right heart strain (ECG/Echo/BNP)
Troponin leak
Right heart strain (ECG/Echo/BNP)
Troponin leak
PromptSudden onset dyspnoea DDx
ResponsePE
Cardiogenic shock due to MI or dissection with tamponade
Severe sepsis with rapid progression (meningococcal, staph pneumonia)
Poisoning - agent that causes rapid resp/cardiac compromise
Cardiogenic shock due to MI or dissection with tamponade
Severe sepsis with rapid progression (meningococcal, staph pneumonia)
Poisoning - agent that causes rapid resp/cardiac compromise