Medicina Fluminensis, Vol. 60 No. 4, 2024.
Pregledni rad
https://doi.org/10.21860/medflum2024_321538
Recommendations for Treating Patients with Suspected Pulmonary Embolism in the Emergency Medicine
Damir Rošić
; Zavod za hitnu medicinu Primorsko-goranske županije, Rijeka, Hrvatska; Hrvatsko katoličko sveučilište, Medicinski fakultet, Zagreb, Hrvatska; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
*
Fran Kinkela
; Thalassotherapia Opatija, Specijalna bolnica za medicinsku rehabilitaciju bolesti srca, pluća i reumatizma, Opatija, Hrvatska
Ivan Radaković
; Zavod za hitnu medicinu Primorsko-goranske županije, Rijeka, Hrvatska
Ivica Premužić Meštrović
; Klinička bolnica Merkur, Zavod za kardiologiju, Zagreb, Hrvatska
Davorka Lulić
; Klinički bolnički centar Rijeka, Klinika za bolesti srca i krvnih žila, Rijeka, Hrvatska
Adis Keranović
; Klinički bolnički centar Zagreb, Objedinjeni hitni bolnički prijam, Zagreb, Hrvatska
* Dopisni autor.
Sažetak
A pulmonary embolism occurs when a blood clot suddenly blocks a pulmonary artery (one or more branches). It is important to recognize it early, because the occlusion of the large pulmonary artery suddenly causes hemodynamic instability in the patient, and untimely treatment can lead to death. The goal of these guidelines is a standardized approach to the patient in the emergency medical service, which will enable quick and accurate diagnosis and timely treatment in hospital or home conditions. In the diagnostic sense, it is first important to assess whether there is hemodynamic instability in the patient, that is, whether it is a high-risk pulmonary embolism, where it is crucial to start reperfusion therapy as soon as possible. If there is no hemodynamic instability in the patient, it is a medium or low risk pulmonary embolism. In patients with signs of shock, key diagnostic procedures are bedside ultrasound or computerized tomographic pulmonary angiography. The basis of treatment is hemodynamic and respiratory support, initial anticoagulant treatment or reperfusion treatment (systemic fibrinolytic therapy or mechanical/surgical embolectomy), depending on the severity of the clinical condition of pulmonary embolism.
Ključne riječi
emergency medical services; guidelines; pulmonary embolism
Hrčak ID:
321538
URI
Datum izdavanja:
1.12.2024.
Posjeta: 417 *