Managing acute pulmonary embolism in primary care in a patient declining emergency department transfer: a case report.

ABSTRACT:

Background

For patients with acute pulmonary embolism (PE) diagnosed in the primary care setting, transfer to a higher level of care, like the emergency department, has long been the convention. Evidence is growing that outpatient management, that is, care without hospitalization, is safe, effective, and feasible for selected low-risk patients with acute PE. Whether outpatient care can be provided entirely in the primary care setting has not been well-studied. We report a case of outpatient management of a low-risk patient with acute PE without emergency department transfer.

Case summary

A 74-year-old woman with a history of recent surgery and immobilization presented to a primary care physician with 10 days of mild, non-exertional pleuritic chest pain. Her D-dimer co

SUBMITTER: Vinson DR 

PROVIDER: S-EPMC7649467 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature