Pulmonary Embolism Response Teams

Abstract

Pulmonary embolism is a common and often life-threatening event. Treatment options include anticoagulation alone, catheter-directed therapies, and surgical thromboembolectomy. While guidelines exist, there is often controversy over which treatment is most appropriate, particularly for intermediate-risk patients. The traditional care model, in which the primary team is responsible for consulting the appropriate specialists, may be inadequate and inefficient for emergent situations, as ensuring coordination and communication between various consulting services can be a time consuming and confusing process. The Pulmonary Embolism Response Team (PERT) model was developed to improve the quality and efficiency of care for patient with intermediate- and high-risk pulmonary embolism. Activation of the PERT allows for rapid, multidisciplinary discussion among dedicated specialists, which typically includes members of the cardiology, emergency medicine, hematology, pulmonary/critical care, and surgical services. While the majority of patients are still treated with anticoagulation alone, in the event that a more invasive approach is deemed necessary, the team expedites this process. Over the last several years, the PERT model has been adopted at more than 75 health care institutions and may represent a new standard of care.

Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions

“…Occasionally, and if feasible, the patient or a family member is included in those conversations. To date, there are 32 published descriptions or reviews of how various PERTs establish, organize, operate, and/or manage their programs (Table ) . To identify published studies on PERT, we conducted a systematic search of the literature for publications in MEDLINE and EMBASE from inception to November 2018 using the following search strategy: (pulmonary) and (embolism) and (response) and (team or teams) or (PERT) or (PERTs).…”

Participation of pulmonary embolism response teams during the perioperative period

“…The Massachusetts General Hospital (MGH), in Boston, Massachusetts, introduced PTERRTs in 2012 [11][12][13][14][15] . Subsequently, other US tertiary care centers, both academic, and community-based began to form, organize, structure, and incorporate their respective PTER-RTs.…”

Pulmonary Embolism

“…Bu nedenle hastanelerde özellikle "yüksek mortalite riskli" olgular için "PE timi" oluşturulması önerilmiştir. Bu takımda acil hekimi, kardiyolog, hematolog, göğüs hastalıkları/yoğun bakım uzmanları, radyolog, girişimsel radyoloji ve kalp damar cerrahi kliniklerinin yer alması gerektiği ileri sürülmüştür (77) . Tablo 9.…”