Multidisciplinary approach to the management of pulmonary embolism patients: the pulmonary embolism response team (PERT)

Figures & data

Figure 1 Screensaver slide displayed on computers throughout NYU Langone Medical Center.

Note: Courtesy of NYU Langone Medical Center PERT.
Abbreviations: NYU, New York University; CTA, computed tomography angiography; RV, right ventricle; Tn, troponin; IP, in person; PERT, pulmonary embolism response team.

Table

PERT activation criteria
Symptomatic PE with
moderate to severe dyspnea
hemoptysis
moderate to severe chest pain
tachyarrhythmia
new oxygen requirement
serum troponin > upper limits of normal
echocardiography with RV dilation and/or hypokinesis
CTA with signs of RV volume or pressure overload (rightward shift of
intraventricular septum, reflux of contrast into the IVC, RV/LV diameter >1.0)

Figure 2 Activation flow chart of MGH’s PERT.

Note: Courtesy of MGH.
Abbreviations: MGH, Massachusetts General Hospital; PERT, pulmonary embolism response team; PE, pulmonary embolus; HIPAA, Health Insurance Portability and Accountability Act.

Figure 3 Activation flow chart of NYU’s PERT.

Note: Courtesy of NYU’s PERT.
Abbreviations: NYU, New York University; PERT, pulmonary embolism response team; PE, pulmonary embolus; IR, interventional radiology.

Figure 4 Activation flow chart of Vanderbilt University’s PERT.

Abbreviations: PERT, pulmonary embolism response team; PE, pulmonary embolism; VUMC, Vanderbilt University Medical Center; CVICU, Cardiovascular Intensive Care Unit.