The majority of pulmonary embolisms (PEs) arise from thrombi in the deep veins of the lower extremities and pelvis.
Thrombi also originate in renal and upper extremity veins.
Variability in signs and symptoms make diagnosis difficult
Pleuritic chest pain
Fevers (rarely >102°F)
Initial supplemental oxygen
Establish IV access
Airway, breathing, and circulation
Provide supplemental oxygen to maintain adequate oxyge...
Admit all patients with PE for continued anticoagulation and observation.
Clinically stable patients with a high suspicion for PE, no contraindication to anticoag...
Clinical presentation is variable and nonspecific, making diagnosis difficult in many cases.
Patients with malignancy are at higher risk for Coumadin failure and recurrent PE even w...
Kline JA, Courtney DM, Kabrhel C, et al. Prospective multicenter evaluation of the pulmonary embolism rule-out criteria. J Thromb Haemost. 2008;6(5):772–780.
Stein P, Fowle...
415.11 Iatrogenic pulmonary embolism and infarction
415.19 Other pulmonary embolism and infarction
673.20 Obstetrical blood-clot embolism, unspecified as to episode of care or not applicable
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