Pulmonary Embolism & DVT: PERC, Wells, PESI, Thrombolysis & PERT | EM Board Review

PE recognition through dangerous phenotypes, PERC/Wells/PESI risk stratification, age-adjusted D-dimer, RV strain on bedside echo, thrombolysis dosing and contraindications, catheter-directed therapy and PERT, DVT and phlegmasia management, and PE in pregnancy. 📑 Chapters 0:00 Intro 0:03 Title 0:26 Objectives 1:00 ED Mindset Treat Physiology Before Certainty 1:20 PE Risk Factors & Dangerous Phenotypes 2:02 Classic Presentations of PE 2:43 ECG & Bedside Echo Signs 3:45 Diagnostic Approach Overview 4:08 PERC Criteria 4:47 Wells Score for PE 5:40 D dimer with Age Adjusted Cutoff 6:19 PESI & sPESI for Risk Stratification 6:54 PE Severity Classification 7:30 Massive PE Management 8:05 Submassive PE Management 8:34 Low Risk PE & Outpatient Treatment 9:12 Thrombolytics Dosing & Contraindications 10:00 Catheter Directed Therapy & PERT 10:41 DVT Diagnosis 11:15 DVT Treatment & Phlegmasia 11:48 Anticoagulation Anchors 12:47 Anticoagulation Anchors pre atempo 13:55 Anticoagulation Anchors pre splice 14:54 PE in Pregnancy 15:41 Board Traps PE & DVT 16:10 Case 1 Post op AMS & New AFib 16:48 Case 2 Submassive PE with RV Strain 17:21 Board Question 1 17:40 Board Question 2 17:59 Board Question 3 18:17 Final Takeaways 19:06 References Presented by Ezekiel Shepard, M.D. Shepard EM Board Review — high-yield emergency medicine education for board exams, shift performance, and clinical reasoning. ⏱ CHAPTERS 0:00 Title 0:23 Objectives 0:59 ED Mindset Treat Physiology Before Certainty 1:20 PE Risk Factors and Dangerous Phenotypes 1:54 Classic Presentations of PE 2:20 ECG and Bedside Echo Signs 3:09 Diagnostic Approach Overview 3:33 PERC Criteria 4:13 Wells Score for PE 4:58 D dimer with Age Adjusted Cutoff 5:34 PESI and sPESI for Risk Stratification 6:16 PE Severity Classification 6:54 Massive PE Management 7:35 Submassive PE Management 8:05 Low Risk PE and Outpatient Treatment 8:48 Thrombolytics Dosing and Contraindications 9:43 Catheter Directed Therapy and PERT 10:25 DVT Diagnosis 10:53 DVT Treatment and Phlegmasia 11:30 Anticoagulation Anchors 12:19 PE in Pregnancy 13:00 Board Traps PE and DVT 13:24 Case 1 Post op AMS and New AFib 14:11 Case 2 Submassive PE with RV Strain 14:48 Board Question 1 15:11 Board Question 2 15:33 Board Question 3 15:51 Final Takeaways 16:38 References 📚 ABOUT THIS SERIES Shepard EM Board Review delivers polished, board-relevant emergency medicine lectures for residents, attendings, and students preparing for boards or trying to sharpen on-shift clinical reasoning. Each lecture covers a focused high-yield topic with specific dosing anchors, treatment-sequence framing, and the classic board traps. 🎓 REFERENCES & ACKNOWLEDGEMENTS Content informed by Rosen's Emergency Medicine (10th edition), Foundations of EM Board Review, and current society guidelines (ACEP, AHA/ACC, SCCM, IDSA, ATLS, and others as relevant per lecture). ⚠ DISCLAIMER This content is for educational purposes only. It does not replace clinical judgment, institutional protocols, or specialty consultation. Always follow your local guidelines and consult appropriate specialists. 💬 Comment with topics you want covered next. 👍 Like and subscribe for more high-yield emergency medicine board content. #EmergencyMedicine #BoardReview #MedicalEducation #ShepardEMBoardReview