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Clin Pract Cases Emerg Med · Nov 2017
Case ReportsSuccessful Point-Of-Care Ultrasound-Guided Treatment of Submassive Pulmonary Embolism.
- Samantha J Myers, Thomas E Kelly, and Jeffrey R Stowell.
- Maricopa Integrated Health System, Department of Emergency Medicine, Phoenix, Arizona.
- Clin Pract Cases Emerg Med. 2017 Nov 1; 1 (4): 340-344.
AbstractPulmonary embolism is associated with significant mortality and impaired long-term functional outcomes. Timely identification and treatment is crucial for successful management. Unfortunately, prompt diagnosis can be challenging in patients without overt signs of cardiovascular compromise. Point-of-care cardiac ultrasound (POCCUS) can be used to identify signs of acute pulmonary embolism, risk stratify patients for adverse outcomes and assess response to therapy. This report describes a patient with submassive pulmonary embolism and evidence of acute right ventricular strain on POCCUS successfully treated with thrombolytic therapy. The dynamic changes observed on point-of-care ultrasound are presented.
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