• Parth Rali, Daniel Sacher, Belinda Rivera-Lebron, Rachel Rosovsky, Jean M Elwing, Jonathan Berkowitz, Bushra Mina, Bhavinkumar Dalal, George A Davis, David M Dudzinski, Alicia Duval, Eugene Ichinose, Christopher Kabrhel, Aniruddh Kapoor, Ka U Lio, Robert Lookstein, Michael McDaniel, Roman Melamed, Soophia Naydenov, Shalom Sokolow, Kenneth Rosenfield, Victor Tapson, Eduardo Bossone, Brent Keeling, Richard Channick, and Charles B Ross.
• Temple University Hospital, Philadelphia, PA. Electronic address: parth.rali@yahoo.com.
• Chest. 2021 Nov 1; 160 (5): 1844-1852.

AbstractAcute pulmonary embolism (PE) is associated with significant morbidity and mortality. The management paradigm for acute PE has evolved in recent years with wider availability of advanced treatment modalities ranging from catheter-directed reperfusion therapies to mechanical circulatory support. This evolution has coincided with the development and implementation of institutional pulmonary embolism response teams (PERT) nationwide and internationally. Because most institutions are not equipped or staffed for advanced PE care, patients often require transfer to centers with more comprehensive resources, including PERT expertise. One of the unmet needs in current PE care is an organized approach to the process of interhospital transfer (IHT) of critically ill PE patients. In this review, we discuss medical optimization and support of patients before and during transfer, transfer checklists, defined roles of emergency medical services, and the roles and responsibilities of referring and receiving centers involved in the IHT of acute PE patients.Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

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