TY - JOUR
T1 - Interhospital Transfer of Patients With Acute Pulmonary Embolism
T2 - Challenges and Opportunities
AU - Rali, Parth
AU - Sacher, Daniel
AU - Rivera-Lebron, Belinda
AU - Rosovsky, Rachel
AU - Elwing, Jean M.
AU - Berkowitz, Jonathan
AU - Mina, Bushra
AU - Dalal, Bhavinkumar
AU - Davis, George A.
AU - Dudzinski, David M.
AU - Duval, Alicia
AU - Ichinose, Eugene
AU - Kabrhel, Christopher
AU - Kapoor, Aniruddh
AU - Lio, Ka U.
AU - Lookstein, Robert
AU - McDaniel, Michael
AU - Melamed, Roman
AU - Naydenov, Soophia
AU - Sokolow, Shalom
AU - Rosenfield, Kenneth
AU - Tapson, Victor
AU - Bossone, Eduardo
AU - Keeling, Brent
AU - Channick, Richard
AU - Ross, Charles B.
N1 - Publisher Copyright:
© 2021 The Authors
PY - 2021/11
Y1 - 2021/11
N2 - Acute pulmonary embolism (PE) is associated with significant morbidity and mortality. The management paradigm for acute PE has evolved in recent years with wider availability of advanced treatment modalities ranging from catheter-directed reperfusion therapies to mechanical circulatory support. This evolution has coincided with the development and implementation of institutional pulmonary embolism response teams (PERT) nationwide and internationally. Because most institutions are not equipped or staffed for advanced PE care, patients often require transfer to centers with more comprehensive resources, including PERT expertise. One of the unmet needs in current PE care is an organized approach to the process of interhospital transfer (IHT) of critically ill PE patients. In this review, we discuss medical optimization and support of patients before and during transfer, transfer checklists, defined roles of emergency medical services, and the roles and responsibilities of referring and receiving centers involved in the IHT of acute PE patients.
AB - Acute pulmonary embolism (PE) is associated with significant morbidity and mortality. The management paradigm for acute PE has evolved in recent years with wider availability of advanced treatment modalities ranging from catheter-directed reperfusion therapies to mechanical circulatory support. This evolution has coincided with the development and implementation of institutional pulmonary embolism response teams (PERT) nationwide and internationally. Because most institutions are not equipped or staffed for advanced PE care, patients often require transfer to centers with more comprehensive resources, including PERT expertise. One of the unmet needs in current PE care is an organized approach to the process of interhospital transfer (IHT) of critically ill PE patients. In this review, we discuss medical optimization and support of patients before and during transfer, transfer checklists, defined roles of emergency medical services, and the roles and responsibilities of referring and receiving centers involved in the IHT of acute PE patients.
KW - interhospital transfer
KW - patients
KW - pulmonary embolism transfer
KW - transfer of pulmonary embolism
KW - transition of pulmonary embolism care
UR - http://www.scopus.com/inward/record.url?scp=85118326330&partnerID=8YFLogxK
U2 - 10.1016/j.chest.2021.07.013
DO - 10.1016/j.chest.2021.07.013
M3 - Review article
C2 - 34273391
AN - SCOPUS:85118326330
SN - 0012-3692
VL - 160
SP - 1844
EP - 1852
JO - CHEST
JF - CHEST
IS - 5
ER -