Case challenge · Respiratory / Cardiology / Emergency · teaching

Acute Pulmonary Embolism — Risk Stratification & Treatment Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ESC 2019

Case #1Respiratory / Cardiology / Emergency

📋 Case data

Hemodynamically unstable?Stable
Not high-risk · re-stratifyIntermediate (RV dysfunction and/or raised biomarkers)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · Hemodynamically unstable?

Is the patient hemodynamically unstable?

💡 After confirmed/highly suspected PE, stratify by early mortality risk. High-risk = hemodynamic instability (SBP <90 or a drop ≥40 mmHg from baseline for ≥15 min, needing vasopressors, shock). Anticoagulate all patients early (unless contraindicated).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.