Are You Missing a High-Risk Pulmonary Embolism? (PE Management & PESI Score Basics)! скачать в хорошем качестве

Are You Missing a High-Risk Pulmonary Embolism? (PE Management & PESI Score Basics)!

Hello, I'm Dr. Prerak Juthani, an Internal Medicine doctor at Stanford, and today we're tackling a critical, life-saving topic: Pulmonary Embolism (PE) management. A PE is a potentially life-threatening medical emergency caused by a blockage in a lung artery, usually by a blood clot (embolus) that traveled from the legs or pelvis. This blockage reduces blood flow and oxygen to the lungs, leading to symptoms like shortness of breath and chest pain. Treatment focuses on dissolving the clot and preventing new ones from forming. In this essential video, I break down the systematic approach to risk-stratification, focusing on how we quickly determine a patient's acuity and guide treatment. What you will learn: PE Basics: A look at the difference between minor vs. major pulmonary embolisms. The Risk Spectrum: Understanding the critical distinction between low, medium, and high-acuity PE. Low Risk: The patient is hemodynamically stable, and there are typically no concerns of Right Ventricular (RV) strain. High Risk: This is a critical state, implying hemodynamic compromise such as hypotension or concerns for obstructive shock, which requires immediate and aggressive intervention. The PESI Score: I go over the fundamentals of the Pulmonary Embolism Severity Index (PESI) score, a vital clinical tool used to determine the basics of a patient's PE management plan. Different ways to connect with me (so sorry in advance it takes me a bit to respond since residency is destroying my time haha): LinkedIn (publications, professional stuff I'm up to!):   / prerakjuthani   Twitter (my random thoughts and love of econ/medicine memes): https://x.com/PJuthani IG (literally me being extra af): https://www.instagram.com/prerakcity/... Snapchat (literally me being extra af): @prerakcity Tiktok:   / prerakjuthani   My Board Game: www.reactgame.com My Podcast: https://podcasts.apple.com/us/podcast... Here are some of my more popular videos: Anki: All You Will Ever Need PLAYLIST:    • Anki: All You Will Ever Need   How to Make Anki Cards from Med School Lectures (Part 1):    • How to Make Anki Cards from Med School Lec...   5 HUGE Limitations of ANKI (...And How to Get Around Them!):    • 5 HUGE Limitations of ANKI (...And How to ...   How to EFFECTIVELY CRAM Using Anki (College Classes + Med School):    / watchv=8w47pztfcs0&list=ploruskspchayv6ond...   5 SIMPLE Ways to UP Your Anki Game! (EVERYTHING You Need; Strategies for ALL Subjects):    / watchv=1rfrwc9oq8m&list=ploruskspchayv6ond...   TIME STAMPS: 00:00-01:00 - Introduction to PEs and Agenda for this Video 01:01-01:53 - Low Risk, Medium Risk and High Risk Pulmonary Embolisms What are PEs and where do they come from? How are there medium, low and high risk of PEs. What does it change for its management? 01:54-02:50 - What Classifies as a Low Risk Pulmonary Embolism? 02:51-03:44 - What Classifies as a Medium Risk Pulmonary Embolism? Hint: You'll now need to be thinking of aspects of right heart strain! 03:45-04:24 - What is a High Risk Pulmonary Embolism? 04:24-07:42 - A Simple Algorithm to Make Things Easier!