Harbor:PE Response Team: Difference between revisions

Latest revision as of 21:12, 16 March 2026

For all Confirmed PE or DVT with findings suggestive of PE (Clot in transit or right heart thrombi on TTE/TEE) but unable to obtain CTPA, risk stratify patient for PE Response Team Activation using the ED PERT Activation Algorithm 2026.
To activate PE Response Team: Page the PERT pager p9956 (autopage in Cerner)
- Activation of PERT will lead to a multidisciplinary conference for most optimal care for patient, ED attending can attend
  - PERT helps with treatment decisions and facilitating rapid diagnostics and interventions
  - PERT members include on call members from pulmonary critical care, IR, interventional cardiology, CT surgery, and ECMO team
- PERT generally requires CTA to confirm size/location of PE as it is needed to guide treatment recommendations (systemic tPA, intravascular intervention, thrombolysis), but TEE may be acceptable
- Detailed PERT Team and PE management information can be found here -> Harbor:Admission_and_consultation_guidelines#Pulmonary_Embolus

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-* Page the PERT p9956 (autopage in Cerner) for massive, intermediate risk PE, and cardiac arrest with high suspicion of PE when considering thrombolytics, or if questions arise regarding acute PE/DVT management
+* '''For all Confirmed PE''' or DVT with findings suggestive of PE (Clot in transit or right heart thrombi on TTE/TEE) but unable to obtain CTPA, risk stratify patient for PE Response Team Activation using the [https://s3.ap-southeast-2.amazonaws.com/wikem.cf.bucket/images/ED_PERT_Activation_Algorithm_%282026%29.pdf ED PERT Activation Algorithm 2026].
-** '''PERT generally requires CTA to confirm size/location of PE''' (systemic tPA, intravascular intervention, thrombolysis), but TEE may be acceptable
+* '''To activate PE Response Team: ''Page the PERT pager p9956 (autopage in Cerner)'''''
-*** [[File:ED PERT Activation Algorithm (2026).pdf|thumb]]
-*** for details: [[Harbor:Admission_and_consultation_guidelines#Pulmonary_Embolus]]
 ** Activation of PERT will lead to a multidisciplinary conference for most optimal care for patient, ED attending can attend
-*** Help with treatment decisions and rapid diagnostics
+*** PERT helps with treatment decisions and facilitating rapid diagnostics and interventions
-*** PERT members include on call members from pulmonary critical care, IR, CT surgery
+*** PERT members include on call members from pulmonary critical care, IR, interventional cardiology, CT surgery, and ECMO team
+** '''PERT generally requires CTA to confirm size/location of PE''' as it is needed to guide treatment recommendations (systemic tPA, intravascular intervention, thrombolysis), but TEE may be acceptable
+** Detailed PERT Team and PE management information can be found here -> [[Harbor:Admission_and_consultation_guidelines#Pulmonary_Embolus]]
 ==See Also==