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The Curbsiders Internal Medicine Podcast

Supercharge your learning as these board-certified Internists interview the experts to bring you clinical pearls, practice changing knowledge, and a healthy dose of humor. 

Apr 23, 2018

Wow the crowd with your knowledge of pulmonary embolism! What are the red flags? What tools are available to guide you? How on Earth do you triage a patient with pulmonary embolism (PE)? What exactly is the RV spiral & how do PEs really cause morbidity and mortality?! Get schooled by pulmonary embolism expert, Dr. Oren Friedman, associate director of the Cardiac-Surgical Intensive care unit at the Cedars-Sinai Heart Institute. Doctors Cyrus Askin and Chris Chiu join as co-hosts. Test Yo’ Self Pulmonary embolism quiz

Written by Cyrus Askin, MD, Justin Berk, MD, MBA, MPH. Figure by Cyrus Askin, MD. Edited by Matthew Watto, MD

Full show notes available at

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Time Stamps

  • 5:10 - Start of Interview / Introduction
  • 10:00 - Case Presentation - Introduction of DVT / PE Spectrum and Pathophysiology
  • 16:18 - How to Triage and Work-Up Pulmonary Embolism (CT, Echo, troponins, “eyeball”)
  • 23:30 - Other ways to risk-stratify (Other CT findings, clot burden)
  • 28:45 - What does a low-risk patient look like?
  • 30:35 - When to consider treatment modalities other than general anticoagulation
  • 35:12 - Anticoagulation treatment options
  • 36:38 - Next step intensive interventions after anticoagulation
  • 42:00 - Evidence behind catheter-directed lysis
  • 44:05 - IVC Filter discussion
  • 47:22 - Discharge criteria for PE
  • 50:00 - Incidental PEs
  • 52:40 - Interdisciplinary PERT Team

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