EPISODE · Feb 27, 2026 · 42 MIN
S01E21 Acute Pulmonary Embolism: 2026 AHA/ACC Multisociety Guideline
from PRISM Rounds: Pulmonary, Critical Care & Sleep Medicine
We walk through the 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN guideline for evaluation and management of acute pulmonary embolism in adults (Circulation, 2026). We focus on the guideline’s top take-home messages trainees need on rounds: the new A–E clinical categories for severity/triage, who can be discharged early, who should be hospitalized, when to activate PERT, and how to think about escalation therapies in the sickest patients—plus practical anticoagulation choices (LMWH vs UFH, DOACs vs warfarin) and follow-up to screen for post-PE limitations/CTEPD. Educational use only—not medical advice.Source (guideline): https://www.ahajournals.org/doi/10.1161/CIR.0000000000001415Pubmed: https://pubmed.ncbi.nlm.nih.gov/41712677/Tags#CriticalCare #ICU #PulmonaryEmbolism #PE #VTE #Thrombosis #Anticoagulation #DOAC #Heparin #LMWH #PERT #EmergencyMedicine #HospitalMedicine #Cardiology #PulmonaryMedicine #MedEd #FOAMed #Guidelines #Circulation #ResidentEducation #FellowEducation #RVRstrain #CTPA #D_Dimer #CTEPD
What this episode covers
We walk through the 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN guideline for evaluation and management of acute pulmonary embolism in adults (Circulation, 2026). We focus on the guideline’s top take-home messages trainees need on rounds: the new A–E clinical categories for severity/triage, who can be discharged early, who should be hospitalized, when to activate PERT, and how to think about escalation therapies in the sickest patients—plus practical anticoagulation choices (LMWH vs UFH, DOACs vs warfarin) and follow-up to screen for post-PE limitations/CTEPD. Educational use only—not medical advice.Source (guideline): https://www.ahajournals.org/doi/10.1161/CIR.0000000000001415Pubmed: https://pubmed.ncbi.nlm.nih.gov/41712677/Tags#CriticalCare #ICU #PulmonaryEmbolism #PE #VTE #Thrombosis #Anticoagulation #DOAC #Heparin #LMWH #PERT #EmergencyMedicine #HospitalMedicine #Cardiology #PulmonaryMedicine #MedEd #FOAMed #Guidelines #Circulation #ResidentEducation #FellowEducation #RVRstrain #CTPA #D_Dimer #CTEPD
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S01E21 Acute Pulmonary Embolism: 2026 AHA/ACC Multisociety Guideline
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