Pulmonary Embolism Flashcards
1
Q
What scoring system to use for Pulmonary Embolism?
A
Well’s score
Geneva score
2
Q
1st line treatment for PE?
A
DOAC,
then LMWH if not available
3
Q
Give 4 findings you might find on ECG of a patient with pulmonary embolism
A
Sinus tachycardia Atrial fibrillation T wave inversion RBBB (right heart strain) S1 Q3 T3 appearance
4
Q
Give 2 signs you might find on CXR in a patient with PE
A
Hampton’s Hump
Westermark sign
5
Q
What criteria can you use to rule out pulmonary embolism?
A
PERC
6
Q
Some contraindications to thrombolysis?
A
History of haemorrhagic stroke Recent ischaemic stroke (< 3 months) Bleeding disorder Active bleeding Recent head injury (< 3 weeks) Recent surgery
7
Q
How long do you attempt CPR for in patients with cardiac arrest given thrombolysis for PE?
A
60 - 90 minutes
