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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
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COVID-19 Impact on Interventional Pulmonology Training.

Or Kalchiem-Dekel1, Audra J Schwalk2, Niral M Patel3,4

  • 1Department of Medicine, Pulmonary Service and.

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|August 19, 2021
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Summary

Interventional pulmonology fellows actively cared for COVID-19 patients, with most programs maintaining educational activities. Despite reduced procedure volumes, all fellows secured employment post-training.

Keywords:
COVID-19interventional pulmonologysurveytraining

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Area of Science:

  • Pulmonology
  • Medical Education
  • Infectious Diseases

Background:

  • The COVID-19 pandemic significantly impacted healthcare, including medical education.
  • The specific effects on interventional pulmonology (IP) fellowship training and trainee perceptions were largely unexplored.

Purpose of the Study:

  • To assess interventional pulmonology fellows' involvement in COVID-19 patient care.
  • To evaluate the pandemic's impact on fellows' clinical education, procedural skills, and job searches.

Main Methods:

  • An internet-based survey was developed and validated.
  • The survey was distributed to interventional pulmonology fellows in North American training programs.

Main Results:

  • 95% of fellows participated; 76% were involved in COVID-19 patient care.
  • A 21% decrease in IP procedure volume (mainly bronchoscopies) occurred; 52% of fellows were redeployed.
  • Most fellows maintained outpatient clinics (telehealth-focused), academic, and research activities; all secured employment.

Conclusions:

  • Interventional pulmonology fellows were heavily involved in COVID-19 care, yet most programs sustained educational activities.
  • Addressing the impact of reduced procedure volume on trainee competency requires individualized program strategies.
  • Findings can guide medical trainee education during health crises.