{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"#Epi 36 - ICU Fellowship Snippet - Pulmonary Embolism: Risk Stratification &amp; the New AHA\/ACC Guidelines","description":"In this episode, Dr Swapnil Pawar and Dr Madhuri Anupindi work through a case-based viva on acute pulmonary embolism: a 40-year-old with a CTPA-proven saddle PE after a long-haul flight. We cover: \u2013 Risk stratification using the 2019 ESC guidelines: sPESI, haemodynamic criteria, and the imaging and biomarker evidence of RV strain \u2013 The brand-new 2026 AHA\/ACC guidelines and their A\u2013E classification, including respiratory modifiers and SCAI shock stages \u2013 Advantages and disadvantages of the new AHA\/ACC framework versus the ESC approach \u2014 a likely compare-and-contrast question for the upcoming Fellowship exam \u2013 Management of intermediate\u2013high risk PE: anticoagulation (and why LMWH beats a heparin infusion), full-dose vs reduced-dose systemic thrombolysis (PEITHO, MOPETT), catheter-directed thrombolysis (HI-PEITHO), suction and surgical embolectomy, RV support strategies, and the role of the PERT team Detailed tables comparing the ESC and AHA\/ACC classifications, plus the sPESI criteria, are in the show notes at critcareedu.com.au. Want to go deeper on the new guidelines? We break them down in full on the latest episode of the eCritCare Podcast. ","author_name":"ICU Fellowship PrepCast","author_url":"https:\/\/www.critcareedu.com.au","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/42398110\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/88AA3C\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/item\/42398110"}