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{
    "pk": 8556,
    "title": "Half-dose Alteplase for Sub-massive Pulmonary Embolism Directed by Emergency Department Point-of-care Ultrasound",
    "subtitle": null,
    "abstract": "This report describes a patient with sub-massive pulmonary embolism (PE) who was successfully treated with half-dose thrombolytics guided by the use of point-of-care (POC) ultrasound. In this case, POC ultrasound was the only possible imaging since computed tomography was contraindicated. POC ultrasound demonstrated a deep vein thrombosis and evidence of cardiac strain. In situations or locations where definitive imaging is unobtainable, POC ultrasound can help diagnose submassive PE and direct the use of half-dose tissue plasminogen activator. [West J Emerg Med. 2015;16(1):–0.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "ultrasound"
        },
        {
            "word": "thrombolysis"
        },
        {
            "word": "pulmonary embolism"
        },
        {
            "word": "cardiac care, thrombolysis"
        }
    ],
    "section": "Technology in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0b7598kc",
    "frozenauthors": [
        {
            "first_name": "Richard",
            "middle_name": "",
            "last_name": "Amini",
            "name_suffix": "",
            "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona",
            "department": "None"
        },
        {
            "first_name": "Ashish",
            "middle_name": "R.",
            "last_name": "Panchal",
            "name_suffix": "",
            "institution": "Ohio State University, Department of Emergency Medicine, Columbus, Ohio",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "",
            "last_name": "Bahner",
            "name_suffix": "",
            "institution": "Ohio State University, Department of Emergency Medicine, Columbus, Ohio",
            "department": "None"
        },
        {
            "first_name": "Srikar",
            "middle_name": "",
            "last_name": "Adhikari",
            "name_suffix": "",
            "institution": "University of Arizona, Department of Emergency Medicine, Tucson, Arizona",
            "department": "None"
        }
    ],
    "date_submitted": "2014-10-02T17:07:36Z",
    "date_accepted": "2014-10-02T17:07:36Z",
    "date_published": "2015-01-12T21:17:43Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8556/galley/4932/download/"
        }
    ]
}