Start with a free trial account for free content every month. Already a subscriber? Sign in.

Pulmonary Embolism: Updates on Therapy

Jeff Kline, MD
00:00
47:02
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

C3 Project Written Summary:Vaginal Bleeding, Pediatric Traumatic Musculoskeletal Disorders 2 MB - PDF

Rob Orman and Jeff Kline talk about the new therapies available to treat suspected PE. This segment really is chocked full of pearls.

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

prestwig1 -

For the high risk high risk high pre-test probability patient.... do we never do pulmonary angiography? EVER? WHY NOT?

prestwig1 -

p.s. It would seem that if you absolutely positively want to know whether or not someone has a PE.....then pulmonary angiography is the test of choice....NO?

Javier Benítez -

Great episodes, lots and lots of high quality information. Rob Orman is great at conducting interviews.

Mike J., M.D. -

While the "gold standard" Pulmonary angiography has a miss rate of ~3%

Mike J., M.D. -

Gentlemen, no greater truths have been spoken than by Dr. Kline's commentary on "Gestalt"

Brandon, MD -

almost no one does pulmonary angio bud. unless you mean CT angio. That said, generally if its a high pre test prob, you start tx then do the CT angio to confirm diagnosis.

Luke M. -

Any literature backing the double ddimer for low prob rule?

Lindsay B., Dr -

I'd love to know what people do with the question in Wells that asks "PE the most likely or equally likely diagnosis" lost of people struggle with this, some ignore it most of the time. People who worry about PE a lot will have a low threshold for answering "yes" to this and do more workups/D-Dimers/imaging. It is part of the problem of dealing with diagnostic uncertainty, and wanting a test to prove an alternative diagnosis. It seems to me that if we're only finding it 1/18-20 times we're looking (In ED patients) the answer by definition has to actually be "no" most of the time.

George D., M.D. -

If someone has a syncopal episode as part of their PE and knocks their head but you decide that you would like to thrombolyse them is this safe after a negative CTB??

Jon C, MD -

As far as "medico legal " goes; it is my opinion that if something goes wrong, even if there was no neglance, one will be wrighting a check to the lawyers.
All the trial lawyer needs to get $$ from you is a bad outcome and a "hired gun"
As an erudite lawyer once told me was "just because something is medically correct doesn't mean it's legally correct."

Bouchra R., M.D. -

The question is have you ant literature bout double DDimer in low probability group? fantastic if we can start it so less imaging ...
thanks for answer

Brendon S., M.D. -

Great review - just can't find it again. Any chance of working on the index. This one doesn't come up with a search for pulmonary embuls, or d-dimer. I remembered Jeff Kline was involved, and found it with a search for his name. A good index would help.

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Episode 130 Full episode audio for MD edition 238:19 min - 100 MB - M4AEM:RAP July 2012 Written Summmary 1 MB - PDFC3 Project Written Summary:Vaginal Bleeding, Pediatric Traumatic Musculoskeletal Disorders 2 MB - PDF