Evidence-based Clinical Care: Pulmonary Embolism Clinical Pathway

This course provides practitioners with evidence-based practices related to the risk stratification of pulmonary embolism. This includes practices that promote early suspicion, appropriate diagnostic work-up and consensus treatment algorithms specific to the levels of risk, as well as the recognition of the added value of implementing a Pulmonary Embolism (PERT) Team in the process.

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Cardiothoracic Surgeons, Cardiologists, Critical Care Physicians, Pulmonologists, Emergency Department Physicians, Interventional and Diagnostic Radiologists, Vascular Medicine Specialists, Advanced Practice Providers, Nurses, Nurse Practitioners, Echocardiology Technicians and Hospitalists.

Learning Objectives

  • Explain the necessity of system standardization of treatment options for the pulmonary embolism (PE) patient based on current evidence-based practices.
  • Distinguish severity levels of PE, including massive, sub-massive and low-risk PE, the corresponding clinical pathways and associated power plans, based on evidence-based practices in the acute care setting.
  • Stratify PE patients based on pulmonary thromboembolism (PTE) risk assessment. 
  • Identify a PE utilizing standardized echocardiogram and imaging criteria and implement appropriate treatment. 
  • Monitor quality measures associated with the treatment of PE patients.
  • Recognize the role of the Pulmonary Embolism Response Team (PERT) and Rapid Response Team (RRT) in the diagnosis and treatment of PE.
Additional information
Bibliography: 
  • Stavros V. Konstantinides, MD,  Stefano Barco, MD, Mareike Lankeit, MD,  Guy Meyer, MD (2016) Management of Pulmonary Embolism. JACC, Vol. 67, No. 8, March 1, 2016: 976-990.
  • Geoffrey Barnes, Jay Giri, D. Mark Courtney, Soophia Naydenov, Todd Wood, Rachel Rosovsky, Kenneth Rosenfield & Christopher Kabrhel (2017) Nuts and bolts of running a pulmonary embolism response team: results from an organizational survey of the National PERT™ Consortium members, Hospital Practice, 45:3, 76-80, DOI: 10.1080/21548331.2017.1309954.
  • Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, Single Volume 10th Edition.
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.​

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Course opens: 
09/01/2018
Course expires: 
02/28/2022

Javier Perez-Fernandez, M.D.
Pulmonologist 
Director of Pulmonary Services at West Kendall Baptist Hospital
Director of Critical Care Services at Baptist Hospital
Associate Clinical Professor at Florida International University
Miami, Florida

Javier Perez-Fernandez, M.D., has indicated that he is on the speakers bureau with Boehringer Ingelheim, Sunovion and Astra-Zeneca. Dr. Perez-Fernandez will not include off-label or unapproved product usage in his presentation or discussion.  

James Benenati, M.D., has indicated that he is a stockholder with Penumbra and a consultant with Bard Medical and Penumbra.

Ripal Gandhi, M.D., has indicated that he is a consultant with Bard, BTG, Sirtex, Medtronic and Boston SCI. 

Adam Geronemus, M.D., has indicated that he is on the speakers bureau with Gore, Bard and Merit.

F. Javier Jimenez-Carcamo, M.D., has inidcated that he is on the speakers bureau with Bayer, Actelion and United Therapeutics and on the advisory board with Actelion and United Therapeutics.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
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