Outline<\/a> of the workflow for PERT Activation:<\/p>\n\n\n\nGeneral Overview<\/h2>\n\n\n\n
PERT Activations<\/strong><\/p>\n\n\n\n<\/p>\n\n\n\n
\n- Use .PERTactivationtemplate2026 as your smart phrase<\/li>\n\n\n\n
- Use the note type “Significant Event” so that this data may be easily found by our research team.\u00a0<\/li>\n\n\n\n
- Low risk intermediate- Document in the pert note, typically no intervention is needed, and send a a halo message to PH <\/li>\n\n\n\n
- High risk intermediate-\u00a0Contact PH on call, not the interventionalist. The PH team will handle the rest in terms of whether procedures are needed overnight and clinical trial screening, and help suggest disposition.<\/strong><\/li>\n\n\n\n
- Massive PE- If there are no contraindications to full dose lytics in a decompensating patient, can offer decision support if requested without delay. If contraindicated or if pseudostable on a low dose of pressors, discuss with PH on call to assess for interventional procedure<\/li>\n<\/ul>\n\n\n\n
<\/p>\n\n\n\n
PERT consultations from outside HFH-Detroit<\/strong><\/p>\n\n\n\n\n- Outside hospitals: we are not be able to offer multidisciplinary recommendations (cannot see imaging); as such, the patient would need to be transferred to HFH-Detroit for an evaluation.\n
\n- If ATMO calls because someone is wondering if they should transfer, this should be left to best clinical judgement based on the available data. <\/li>\n\n\n\n
- If ATMO calls because someone is going to be transferring in, it can be helpful to know the circumstances and ETA so that we can prepare if procedures are needed.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
- Henry Ford Fairlane: This is a satellite of HF Main’s ER with preferential admitting in Detroit. They can activate HFH-Detroit PERT when patient’s satisfy criteria for activation,\n
\n- Other ER’s similar include: Sterling Heights, Cottage, and Plymouth <\/li>\n<\/ul>\n<\/li>\n\n\n\n
- In satellite ER’s, (Fairlane, Sterling Heights, Cottage and Plymouth) PERT activation should be carried out as if the patient were in HFH-Detroit ER. If there is a question on disposition to telemetry versus ICU pending a procedure, then the interventionalist should be contacted to discuss the urgency\/need for procedure during the day. If after hours\/weekends\/overnight, the on call PH staff can help with that. <\/li>\n<\/ul>\n\n\n\n
<\/div><\/div>\n\n\n\n
STAT versus Routine Echoes<\/strong><\/p>\n\n\n\nOnce a high risk intermediate or massive PE is determined to be in need of a procedure based on hemodynamic, RV strain biomarker and CT evidence, the utility of an echo would be to rule out intracardiac thrombus prior to catheter insertion. This can be accomplished by bedside echo. If more technical expertise is needed, STAT echo can be requested, this would suggest that a procedure is imminent for a relatively sick patient and the proceduralist is aware of the case. Please note that a STAT echo is done by the in-house Cardiology fellow taking care of the entire CICU and the images need to be reviewed with their staff on home call, and some diagnostic stewardship is needed here. For routine echoes, if a procedure is needed during the day please let the PH team know as we can help prioritize and expedite scheduling with the echo lab. <\/p>\n\n\n\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Important Documents PERT Updates May 2026 PERT Algorithm PERT symposium lectures (2\/11\/2022) Fibrinolysis-risks-and-contraindications Outline of the workflow for PERT Activation: General Overview PERT Activations PERT consultations from outside HFH-Detroit STAT versus Routine Echoes Once a high risk intermediate or massive PE is determined to be in need of a procedure based on hemodynamic, RV strain […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[108,162],"tags":[165,164,163],"class_list":["post-2545","post","type-post","status-publish","format-standard","hentry","category-administrative","category-pulmonary-embolism","tag-pe","tag-pert","tag-pulmonary-embolism-response-team"],"modified_by":"Jennings","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/2545","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2545"}],"version-history":[{"count":10,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/2545\/revisions"}],"predecessor-version":[{"id":3216,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/2545\/revisions\/3216"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}