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- De Ante Russ, Nicole Payne, Mark Bonnell, and Viviane Kazan.
- University of Toledo College of Medicine, Toledo, Ohio.
- J Emerg Med. 2017 Nov 1; 53 (5): 708-711.
BackgroundMassive pulmonary embolism (PE) carries significant morbidity and mortality with current standard of care modalities.Case ReportWe present the case of a 63-year-old male status post abdominal surgery 2 weeks before presenting to the emergency department with a massive pulmonary embolism and subsequent acute cardiopulmonary failure. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Here we describe a case of extracorporeal membrane oxygenation (ECMO) deployed in the emergency department as a bridge to embolectomy to successfully treat massive pulmonary embolism. This provided the opportunity to establish a "Code ECMO" protocol and algorithm for PE with cardiopulmonary instability so that patients can be rapidly triaged to the appropriate treatment modality.Copyright © 2017 Elsevier Inc. All rights reserved.
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