Pulmonary Embolism Management: Unraveling Controversies and Exploring Cutting-Edge Strategies (PG)-Rivera-Lebron

Rivera-Lebron - Starting a PERT ARS_JA

Pdf Summary

A Pulmonary Embolism Response Team (PERT) is a multidisciplinary group focused on enhancing the care of patients with acute pulmonary embolism (PE). PERTs are composed of specialists from various fields such as pulmonology, cardiology, surgery, and radiology, offering comprehensive expertise to assess and treat PE effectively. The benefits of PERTs include timely interventions, individualized treatment plans, improved patient outcomes, and streamlined communication among specialists, ultimately leading to reduced mortality and morbidity rates.<br /><br />Starting a PERT program involves several steps and poses particular challenges. Firstly, recognition of the need for a PERT and alignment with division goals are essential. This requires support from leadership and an assessment of available resources. Key stakeholders must be identified, followed by a kickoff meeting to gather interest and form a working group. As the PERT program is established, it needs to navigate variable conditions such as the lack of robust randomized controlled trials (RCTs), treatment variability by institution and operator expertise, and ambiguity in clinical guidelines.<br /><br />The PERT operates through centralized activation for rapid assessment, risk stratification, and individualized treatment. It provides a platform for research and ensures outpatient follow-ups, creating a standardized yet flexible approach to PE management. Continuous education, advertisement, and outcome tracking are vital to optimizing the PERT.<br /><br />Building a successful PERT requires collaboration, resource optimization, and adaptation over time. Engaging with existing PERTs for mentoring and sharing best practices can prove beneficial. A PERT is not a one-size-fits-all solution; it requires flexibility and consensus-building among team members to tailor a unified approach for each unique case of PE.

Keywords

Pulmonary Embolism Response Team

multidisciplinary

acute pulmonary embolism

specialists

individualized treatment

reduced mortality

PERT program

risk stratification

standardized approach

collaboration