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- Zoë Piggott and Tomislav Jelic.
- *Department of Emergency Medicine,University of Manitoba,Winnipeg,MB.
- Can J Emerg Med. 2018 Oct 1; 20 (S2): S31-S36.
AbstractWe describe the successful use and complications of bolus-dose alteplase to treat strongly suspected pulmonary embolism (PE) with cardiac arrest in a patient initially presenting as ST-elevation myocardial infarcation (MI). Case description is followed by a review of the indications, safety, and dosing of systemic thrombolytic therapy for high-risk PE in the emergency department (ED). Diagnostic and therapeutic approach to PE in critically ill patients is also considered, including the potential utility of point-of-care ultrasound (PoCUS) in the ED.
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