[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-508201-105":59,"doc-detail-508201-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","pulmonary-embolism-response-team-pert-clinical-algorithm","Pulmonary Embolism Response Team (PERT) - Clinical Algorithm","","Pulmonary Embolism Response Team (PERT) clinical algorithm outlines a multidisciplinary approach for managing pulmonary embolism by risk stratification. It defines low, intermediate, and high risk pathways, including when to contact the PERT team, when systemic thrombolysis is indicated, and related escalation steps. The document includes initialization criteria using clinical parameters such as PESI, respiratory rate, heart rate, systolic blood pressure, and altered mental status, and provides multiple appendices covering classifications, pediatric considerations, echocardiography criteria, anticoagulation contraindications, thrombectomy and catheter-directed thrombolysis protocols, LMWH regimens for cancer-associated thrombosis, and suggested readings.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pulmonary-embolism-response-team-pert-clinical-algorithm/508201/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pulmonary-embolism-response-team-pert-clinical-algorithm/508201.png","ImageObject",300,407,{"name":92,"@type":93},"Kyle","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-05",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"How does the algorithm use risk levels for pulmonary embolism management?","Question",{"text":113,"@type":114},"It stratifies patients into low, intermediate, and high risk categories and routes care accordingly, including guidance on contacting the PERT team and escalation steps.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"When is systemic thrombolysis considered?",{"text":118,"@type":114},"The algorithm includes a dedicated pathway for patients requiring systemic thrombolysis, placed after initial evaluation for intermediate risk.",{"name":120,"@type":111,"acceptedAnswer":121},"What topics are covered in the appendices?",{"text":122,"@type":114},"Appendices provide PE classifications, pediatric considerations, criteria for after-hours STAT 2D-ECHO, contraindications to anticoagulation and systemic thrombolysis, thrombectomy protocol, catheter-directed thrombolysis (CDT) protocol, and LMWH regimens for cancer-associated thrombosis.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},508201,1791274523,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},3985741905716,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Pulmonary Embolism Response Team (PERT) Page 1 of 15  \nDisclaimer: This algorithm has been developed for MD Anderson using a multidisciplinary approach considering circumstances particular to MD Anderson’s specific patient population, services and structure, and clinical information. This is not intended to replace the independent medical or professional judgment ofphysicians or other health care providers in the context of individual clinical circumstances to determine a patient's care. This algorithm should not be used to treat pregnant women.  \nPulmonary Embolism (PE)  \nLow Risk1  \nPulmonary Embolism (PE) Intermediate Risk1  \nPulmonary Embolism (PE)  \nHigh Risk1  \n NO Need to Contact PERT Team  \n See Pages 2-3  \n See Page 4  \nPatients Requiring Systemic Thrombolysis ..…………………..……………………….. Page 5  \nAPPENDIX A: Classifications of Pulmonary Embolism (PE)………………………… Page 6  \nAPPENDIX B: Considerations for Pediatric Patients…………………………………. Page 7  \nAPPENDIX C: Criteria for After Hours STAT 2D-ECHO……………………….…... Page 8  \nAPPENDIX D: Contraindications to Anticoagulation Therapy…………..…………... Page 8  \nAPPENDIX E: Thrombectomy Protocol…………..……………………………………. Page 9  \nAPPENDIX F: Catheter-Directed Thrombolysis (CDT) Protocol…………………….. Page 10  \nAPPENDIX G: Low Molecular Weight Heparin (LMWH) Regimens for Treatment of Cancer Associated Thrombosis………………………………………………………. Page 11  \nAPPENDIX H: Contraindications to Systemic Thrombolysis………………………… Page 12  \nSuggested Readings………………………………………………………………………. Pages 13-14  \nDevelopment Credits……………………………………………….…………….............. Page 15  \n1 See Appendix A: Classifications of Pulmonary Embolism Copyright 2025 The University of Texas MD Anderson Cancer Center  \nDepartment of Clinical Effectiveness V5  \nApproved by The Executive Committee of the Medical Staff on 08/19/2025  \nPulmonary Embolism Response Team (PERT) Page 2 of 15  \nDisclaimer: This algorithm has been developed for MD Anderson using a multidisciplinary approach considering circumstances particular to MD Anderson’s specific patient population, services and structure, and clinical information. This is not intended to replace the independent medical or professional judgment ofphysicians or other health care providers in the context of individual clinical circumstances to determine a patient's care. This algorithm should not be used to treat pregnant women.  \nINITIAL EVALUATION – INTERMEDIATE RISK1 TREATMENT  \nPatient diagnosed with Intermediate Risk 1 Pulmonary Embolism  \nPESI = pulmonary embolism severity index RR = respiratory rate  \nHR = heart rate  \nSBP = systolic blood pressure  \nAMS= altered mental status  \nECOG = Eastern Cooperative Oncology Group  \nCopyright 2025 The University of Texas MD Anderson Cancer Center  \n1 See Appendix A: Classifications of Pulmonary Embolism  \n2 PERT First Responder: On-Call fellow/trainee and attending provider. At MD Anderson, refer to the on-call calendar and contact Interventional Radiology fellow first.  \n3 See Appendix C: Criteria for After Hours STAT 2D-ECHO  \n4 See Appendix D: Contraindications to Anticoagulation Therapy  \n5 PESI score calculators: [https://www.mdcalc.com/pulmonary-embolism-severity-index-pesi](https://www.mdcalc.com/pulmonary-embolism-severity-index-pesi)[ ](https://www.mdcalc.com/pulmonary-embolism-severity-index-pesi)or [https://www.mdapp.co/pulmonary-embolism-severity-index-pesi-score-calculator-118/](https://www.mdapp.co/pulmonary-embolism-severity-index-pesi-score-calculator-118/)  \n6  \n7  \n8  \nCriteria to consider for placement of a retrievable filter:  \n● If temporary/limited time ( ≤ 2-3 months) of contraindication to anticoagulants  \n● > 6 months survival expected  \n● Performance status ≤ 1  \nRefer to GCC home page (for internal use only) No interventions for life expectancy \u003C 3 months or ECOG performance status ≥ 3 at baseline  \nDepartment of Clinical Effectiveness V5  \nApproved by The Executive Committee of the Medical Staff on 08/19/2025  \nPulmonary Embolism Response Tea","cbCaihl4ExnGJobP","https://ap.wps.com/l/cbCaihl4ExnGJobP","pdf",389584,15,"English","# Pulmonary Embolism Response Team (PERT)\n## Risk-stratified clinical pathways\n## Systemic thrombolysis and advanced interventions\n## Appendices and protocols","[{\"question\":\"How does the algorithm use risk levels for pulmonary embolism management?\",\"answer\":\"It stratifies patients into low, intermediate, and high risk categories and routes care accordingly, including guidance on contacting the PERT team and escalation steps.\"},{\"question\":\"When is systemic thrombolysis considered?\",\"answer\":\"The algorithm includes a dedicated pathway for patients requiring systemic thrombolysis, placed after initial evaluation for intermediate risk.\"},{\"question\":\"What topics are covered in the appendices?\",\"answer\":\"Appendices provide PE classifications, pediatric considerations, criteria for after-hours STAT 2D-ECHO, contraindications to anticoagulation and systemic thrombolysis, thrombectomy protocol, catheter-directed thrombolysis (CDT) protocol, and LMWH regimens for cancer-associated thrombosis.\"}]","Pulmonary Embolism Response Team (PERT) - Clinical Algorithm | PDF",1791212761,38]