CPR Length After Thrombolytics for PE: Guidelines Knowledge Check

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Family Medicine, Guideline Knowledge Check, Nurse Practitioner

rTPA and CPR Length After Thrombolytics in PE

rTPA and CPR Length After Thrombolytics for Pulmonary Embolism with Cardiac Arrest

Clinical Guideline Knowledge Check

The 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) follows the previous ESC Guidelines focusing on the clinical management of pulmonary embolism (PE), published in 2000, 2008, and 2014, however, new data have extended or modified the knowledge in respect of the optimal diagnosis, assessment, and treatment of patients with PE, including CPR length after administration of thrombolytics (rTPA) in PE with cardiac arrest.  These new aspects have been integrated into previous knowledge to suggest optimal and—whenever possible—objectively validated management strategies for patients with suspected or confirmed PE.

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Today’s Guideline Knowledge Check question comes from the desk of Med-Challenger Emergency Medicine Editor-in-Chief, Andrea Eberly, MD, FAAEM.

The 2019 European Pulmonary Embolism Guidelines comment on CPR length - how long to perform CPR - after administering thrombolytics for pulmonary embolism with cardiac arrest. Do you know the recommendation?

Try this case and learn the latest guidelines for how long CPR should be performed after administration of a thrombolytic.

A 69-year-old man comes to the ED with leg pain and swelling. The work-up is positive for deep vein thrombosis.

Before treatment, the patient suddenly begins gasping for air and collapses; full cardiac arrest with a pulseless electrical rhythm ensues. He receives emergent thrombolytics.

According to the 2019 European Cardiac Society (ESR) pulmonary embolism guidelines, for how long should the patient receive cardiopulmonary resuscitation (CPR) after administration of thrombolytics?

Answer Options:

10 minutes

20 minutes

30-45 minutes

60-90 minutes

See the Answer:

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rTPA and CPR Length guidelines

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About the Author:

Andrea Eberly, MD, FAAEM graduated from the David Geffen Medical School of Los Angeles (UCLA) and completed her residency in Emergency Medicine at the University Medical Center, Tucson, Arizona. After working as an attending physician in Tucson, she followed a recruiting call to the island of Guam, where she served in various roles, including as the director of the emergency department, the EMS Medical Director of Guam, and the Director of the 911 Call System. She has maintained her emergency medicine board certification through three cycles of American Board of Emergency Medicine Board Exams (last in 2014), all three with the help of Med-Challenger.