II. Indications

  1. Non-massive Pulmonary Embolism risk stratification for outpatient management

III. Criteria: All must be absent for a negative Hestia result

  1. Systolic Blood Pressure <100 mmHg (without a history of baseline Hypotension)
  2. Contraindications to Heparin or Low-Molecular Weight Heparin (or other Factor Xa Inhibitor)
    1. Active bleeding
    2. Post-operative High Risk Surgery
    3. Creatinine Clearance <30 ml/min
    4. History of Heparin Induced Thrombocytopenia
    5. Warfarin skin necrosis
  3. Other medical conditions requiring hospital management
  4. Social condition requiring hospitalization (e.g. homeless, non-compliance, Psychosis, Chemical Dependency)
  5. Coagulopathy (INR>1.7)
  6. Thrombocytopenia (Platelet Count <50,000)
  7. Pregnancy
  8. Incarceration

IV. Interpretation

  1. All Hestia Criteria negative
    1. Home management of Pulmonary Embolism is reasonable

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