Related Experiment Video
Updated: Jul 18, 2026
05:52
Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
Hospital Zambrano Hellion pulmonary embolism response team: PERT-PREVENTION
María J Cabada-García1, Jaime G González-Medina1, Jesús A Morón-Mosso1
1Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud.
Archivos De Cardiologia De Mexico
|December 26, 2025
Summary
A new Pulmonary Embolism (PE) protocol standardizes diagnosis and treatment. The PERT-PREVENTION model ensures consistent response times and patient-centered, evidence-based care for intermediate-risk PE patients.
Area of Science:
- Cardiology
- Pulmonology
- Emergency Medicine
Background:
- Pulmonary embolism (PE) management requires standardized protocols for timely and effective care.
- Mexico established its first PE Response Team (PERT) in 2019, leading to protocol development.
Purpose of the Study:
- To create a standardized model for PE stratification and diagnosis.
- To ensure consistent response times and therapeutic strategies for PE patients.
- To optimize the management of intermediate-risk PE.
Main Methods:
- The PERT-PREVENTION protocol was developed, incorporating new evidence on PE phenotypes, risk stratification, and advanced therapies.
- The protocol integrates a collaborative network with a shock team.
- It focuses on optimizing care for intermediate-risk PE.
Main Results:
- The developed protocol centers patient decision-making.
- It promotes a unified, multidisciplinary approach.
- Individualized, evidence-based strategies are favored.
Conclusions:
- The PERT-PREVENTION protocol serves as an institutional reference model for PE management.
- It refines the identification and application of diagnostic and therapeutic strategies.
- It facilitates individualized, evidence-based strategies within a multidisciplinary framework.
Related Concept Videos
01:28Pneumonia IV: Management
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
01:30Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:29Pulmonary Embolism I: Introduction
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...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
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...
01:27Pulmonary Embolism III: Nursing Management
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...
01:19Pulmonary Embolism I: Introduction
A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...