Ep 203 Intermediate Risk Pulmonary Embolism Risk Stratification, Management and Algorithm

This podcast addresses the challenges of risk stratifying and managing pulmonary embolism (PE) patients, particularly those at intermediate risk. It highlights the complexities in treatment decisions, given the heterogeneity within risk categories and the limitations of current risk scores. The discussion emphasizes the importance of considering individual high-risk features from patient history, physical exams, ECG, lab findings, POCUS, and CT scans, rather than relying solely on risk scores. The experts advocate for careful consideration of the risk-benefit ratio when deciding on thrombolysis, discussing the nuances of bleeding risk assessment and the choice between systemic thrombolytics and catheter-directed interventions. Ultimately, the podcast underscores the need for a comprehensive, individualized approach to PE management, involving a multidisciplinary team and shared decision-making with patients.