Management of Patient by a Pulmonary Embolism Response Team in the Emergency Department

Abstract

establishing Pulmonary Embolism Response Team is of beginning the most appropriate treatment faster and reducing mortality. treatment of pulmonary embolism (PE) one of the great challenges of emergency medicine. The management of patient with PE requires a multidisciplinary approach. A detailed treatment algorithm should be developed with the collaboration of emergency medicine, cardiology, interventional radiology, and thoracic surgery experts. ABSTRACT Pulmonary embolism (PE) occurs when the pulmonary arterial system is blocked by a thrombus. Mortality is attributed to the right ventricle failure due to the increased pressure load. In this case, patient was successfully treated with catheter-mediated local thrombolytic therapy by a Pulmonary Embolism Response Team (PERT). A 70-year-old male patient was transferred to our emergency department for further evaluation and treatment, with a prediagnosed PE. Consultant physicians (PERT) of cardiology, pulmonology, interventional radiology, and thoracic surgery were called to the emergency department and evaluated the patient. After a deliberate discussion, PERT members reached a consensus on catheter-mediated thrombolytic therapy for the patient. The patient had no symptoms or complaints over that one-month period. We believe that establishing a PERT is essential in terms of beginning the most appropriate treatment faster and reducing the mortality.