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Semin Respir Crit Care Med 2017; 38(01): 051-055
DOI: 10.1055/s-0036-1597561
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Pulmonary Embolism Response Team: What Is the Ideal Model?

Josanna Rodriguez-Lopez
1   Pulmonary Hypertension and Thromboendarterectomy Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
,
Richard Channick
1   Pulmonary Hypertension and Thromboendarterectomy Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
› Author Affiliations
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Publication History

Publication Date:
16 February 2017 (online)

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Abstract

Treatment of patients with intermediate- and high-risk pulmonary embolism (PE) is a controversial area. Many therapeutic options exist, and deciding on appropriate treatment can be difficult. In addition, multiple specialties are often involved in the care of PE patients. To better organize the response to serious PE patients, several hospitals and academic centers across the United States, spearheaded by Massachusetts General Hospital, have created pulmonary embolism response teams (PERTs). The goal of a PERT is to have a single multidisciplinary team of experts in thromboembolic disease, who can respond rapidly to patients with acute PE, and offer consultation with the full spectrum of therapeutic options. PERT teams were modeled after rapid response teams and are meant to generate a prompt, patient-specific plan for patients with PE without having to consult multiple individual specialists.

Keywords

pulmonary embolism - rapid response teams - team-based approach - venous thromboembolism
 

  • References

  • 1 Winters BD, Weaver SJ, Pfoh ER, Yang T, Pham JC, Dy SM. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med 2013; 158 (5, Pt 2): 417-425
    CrossrefPubMedGoogle Scholar
  • 2 DeVita MA, Winters B. It's not “do” but “why do” rapid response systems work?*. Crit Care Med 2014; 42 (9) 2133-2134
    CrossrefPubMedGoogle Scholar
  • 3 Jones DA, DeVita MA, Bellomo R. Rapid-response teams. N Engl J Med 2011; 365 (2) 139-146
    CrossrefPubMedGoogle Scholar
  • 4 Provias T, Dudzinski DM, Jaff MR , et al. The Massachusetts General Hospital Pulmonary Embolism Response Team (MGH PERT): creation of a multidisciplinary program to improve care of patients with massive and submassive pulmonary embolism. Hosp Pract (1995) 2014; 42 (1) 31-37
    PubMedGoogle Scholar
  • 5 Dudzinski DM, Piazza G. Multidisciplinary pulmonary embolism response teams. Circulation 2016; 133 (1) 98-103
    CrossrefPubMedGoogle Scholar
  • 6 Kabrhel C, Rosovsky R, Channick R , et al. A multidisciplinary pulmonary embolism response team: initial 30-month experience with a novel approach to delivery of care to patients with submassive and massive pulmonary embolism. Chest 2016; 150 (2) 384-393
    CrossrefPubMedGoogle Scholar