Suspected or confirmed PE. Confirm diagnosis efficiently, stratify (massive / submassive / low-risk), and deliver tier-appropriate therapy.
Authored pathway active · cardio.pe.acute.ed
Suspected or confirmed PE. Confirm diagnosis efficiently, stratify (massive / submassive / low-risk), and deliver tier-appropriate therapy.
Guidelines: CHEST 2021 VTE Treatment Guideline (update 2024) · ESC 2019 Acute PE Guideline (update 2024) · ASH 2020 VTE Management
Phenotypes (5)
- Massive PE — High Risk (Obstructive Shock, SBP <90)
- Submassive PE — Intermediate-High Risk (RV Dysfunction + Troponin Rise)
- Intermediate-Low-Risk PE (sPESI ≥ 1; isolated RV dysfunction OR isolated biomarker rise)
- Low-Risk PE — Outpatient/Early Discharge Eligible (PESI Class I-II, HESTIA Low)
- +1 more
Red flags (6)
- Obstructive shock from PE (SBP < 90 ≥ 15 min, vasopressor required, or syncope at rest)CRITICAL
- PE-associated cardiac arrest or peri-arrest stateCRITICAL
- Severe RV dysfunction + biomarker elevation (intermediate-high risk)HIGH
- Hypoxemic respiratory failure (SpO₂ < 90 % on supplemental O₂ or P/F < 200)CRITICAL
- +2 more
Pathway-scoped symptom and exam intake
Test this pathway's ROS and differential links
Uses LR engine pulm.pe.core.v1, then routes suggested engines into the workspace.
19-panel workspace
cardio.pe.acute · EmergencyStart patient workup
Open a scratch or linked encounter, add active problems, then keep labs, fluids, acid-base, and electrolyte tools beside the main workspace instead of losing context.
Encounter and problems
No encounter open. Add a problem to create a scratch encounter when none is open.
Multi-window tools
Unified
labs + fluids + acid-base
Labs
fast lab analyzer
Fluid
resuscitation and balance
Electrolytes
Na/K/Mg/Phos/Ca
ABG/VBG
compensation and mixed disorders
Popular entry points
6 quick-startsOr jump straight to the atlas
The Engine Atlas covers every authored disease package with setting chips and pathway badges. Open any engine to load its 19-panel workspace, backed by phenotype-aware reasoning and monitored by the Flow Assistant.