Half-dose Alteplase for Sub-massive Pulmonary Embolism Directed by Emergency Department Point-of-car...

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" Half-dose Alteplase for Sub-massive Pulmonary Embolism Directed by Emergency Department Point-of-care Ultrasound "
Amini, Richard; Panchal, Ashish R.; Bahner, David; Adhikari, Srikar

Document Type	:	AL
Record Number	:	933658
Doc. No	:	LA0b7598kc
Language of Document	:	English
Main Entry	:	Amini, Richard; Panchal, Ashish R.; Bahner, David; Adhikari, Srikar
Title & Author	:	Half-dose Alteplase for Sub-massive Pulmonary Embolism Directed by Emergency Department Point-of-care Ultrasound [Article]\ Amini, Richard; Panchal, Ashish R.; Bahner, David; Adhikari, Srikar
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	16/1
Date	:	2015
Abstract	:	This report describes a patient with sub-massive pulmonary embolism (PE) who was successfully treated with half-dose thrombolytics guided by the use of point-of-care (POC) ultrasound. In this case, POC ultrasound was the only possible imaging since computed tomography was contraindicated. POC ultrasound demonstrated a deep vein thrombosis and evidence of cardiac strain. In situations or locations where definitive imaging is unobtainable, POC ultrasound can help diagnose submassive PE and direct the use of half-dose tissue plasminogen activator. [West J Emerg Med. 2015;16(1):–0.]