• West J Emerg Med · Jan 2015

    Case Reports

    Half-dose alteplase for sub-massive pulmonary embolism directed by emergency department point-of-care ultrasound.

    • Richard Amini, Ashish R Panchal, David Bahner, and Srikar Adhikari.
    • University of Arizona, Department of Emergency Medicine, Tucson, Arizona.
    • West J Emerg Med. 2015 Jan 1; 16 (1): 181-3.

    AbstractThis report describes a patient with sub-massive pulmonary embolism (PE) who was successfully treated with half-dose thrombolytics guided by the use of point-of-care (POC) ultrasound. In this case, POC ultrasound was the only possible imaging since computed tomography was contraindicated. POC ultrasound demonstrated a deep vein thrombosis and evidence of cardiac strain. In situations or locations where definitive imaging is unobtainable, POC ultrasound can help diagnose submassive PE and direct the use of half-dose tissue plasminogen activator.

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