Thanks to Dr. Troha's diligent efforts, we will be initiating a new protocol to help streamline the decision making and coordination of care for patients with small PEs, Submassive PEs, and Massive PEs.
Step 1: Risk stratification
- Obtain BNP, troponin, perform echo and assess vitals
Step 2: If massive or submassive, call out Code PE. Pull Code PE pack that contains treatment algorithm and lysis checklist
Step 3: Administer heparin
Step 4: Assess bleeding risk using lysis checklist
Step 5: If decision is made to give IV lysis, stop heparin drip during infusion
Step 6: If decision is made to administer catheter-based lysis, contact interventionalist on call
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Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203