Emergency MedicineRespiratory
Pulmonary Embolism Assessment
Risk stratification, diagnosis, and management of pulmonary embolism using Wells score, PERC rule, and PESI score.
Source: NICE NG158; ESC 2019 PE Guidelines
Used in: Venous Thromboembolism (DVT & PE)
Step 1 of ~11
question
Is This Massive (High-Risk) PE?
High-risk PE features (any one):
• Cardiac arrest
• Obstructive shock: SBP <90 mmHg or drop >40 mmHg for >15 min
• Persistent haemodynamic instability not due to arrhythmia, hypovolaemia, or sepsis
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Nitric Oxide (Inhaled — iNO) · Selective Pulmonary Vasodilator
- Selexipag · Pulmonary Arterial Hypertension
- Macitentan · Pulmonary Arterial Hypertension
- Methotrexate (Ectopic) · Antimetabolite (Ectopic Pregnancy Management)
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
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Decision support only. Always apply local guidelines and clinical judgement.