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関連する概念動画

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

298
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...
298
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

492
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...
492
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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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...
347
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

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Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
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Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

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Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

399
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
399

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Updated: Jan 13, 2026

A Porcine Model of Acute Autologous Pulmonary Embolism
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A Porcine Model of Acute Autologous Pulmonary Embolism

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臨床意思決定ケース:肺塞栓症

James H Lee1, Linda Herman1

  • 1Sutter Roseville Medical Center, Department of Emergency Medicine, Roseville, CA.

Journal of education & teaching in emergency medicine
|January 12, 2026
PubMed
まとめ

この研究では、アメリカ救急医学会(ABEM)の試験の準備をしている救急医学の研修医を対象に、新しい臨床意思決定(CDM)ケース形式の有効性を評価しました。シミュレーションは、研修医がCDM形式に慣れ、肺塞栓症(PE)の診断と管理を強化するのに効果的でした。

背景:

  • 肺塞栓症(PE)は、正確な診断と管理のために高い臨床的疑いを必要とする多様な提示を伴う頻繁な診断です。PEの効果的なワークアップと管理は、救急医学の医師にとって重要であり、事前検査確率の評価、診断アルゴリズム、および治療戦略が含まれます。アメリカ救急医学会(ABEM)は、2026年から認定試験のために新しい臨床意思決定(CDM)ケース形式を導入しています。

結論:

  • シミュレートされたCDMケースは、新しいABEM認定試験形式に研修医を慣れさせるための効果的な教育ツールとして機能しました。シミュレーションは、特に安定した提示において、肺塞栓症の診断と管理のコアコンセプトを強化しました。ABEM認定試験の準備を確実にするために、研修医と教育者の両方にとってCDM形式でのさらなる練習が推奨されており、不安定なPE管理に焦点を当てる必要があります。
キーワード:
肺塞栓症臨床意思決定救急医学医学教育ABEM試験

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