Best Case Ever 44 Low Risk Pulmonary Embolism

This podcast explores the complexities of diagnosing and treating pulmonary embolisms (PEs), particularly in low-risk patients. It features Dr. Salim Rezaie, who shares his personal experience as a young, active individual diagnosed with bilateral sub-segmental PEs after a long flight. The conversation highlights the limitations of relying solely on risk scores like Well's and PERC, especially when clinical gestalt suggests otherwise. Dr. Rezaie emphasizes the importance of shared decision-making, considering patient values, and understanding the nuances of D-dimer testing, including age-adjusted cutoffs. The discussion also covers criteria for safely discharging PE patients, advocating for home treatment in low-risk cases with good follow-up. The podcast underscores that evidence-based medicine encompasses research, clinical experience, and patient preferences.