In this episode, we're joined by Dr. Haney Mallemat from @critcarenow to discuss the patient with a massive pulmonary embolism and how we need to manage these patients in the acute phase to keep them alive until we can get them to definitive care.Below are several resources Dr. Mallemat referenced in our talk, as well as links to Critical Care Now and the ResusX conference.Please do us a favor and check out Dr. Mallemat's site.  You'll be happy you did.Critical Care Now - https://criticalcarenow.com/ResusX Conference - https://www.resusx.com/PEAPETT Trial - https://pubmed.ncbi.nlm.nih.gov/27422214/RebelEM Post about PEAPETT - https://rebelem.com/peapett-trial-half-dose-tpa-pea-due-massive-pulmonary-embolism/PERT Teams - https://pertconsortium.org/about/PERT Teams - https://onlinelibrary.wiley.com/doi/10.1002/rth2.12216Nebulized Nitro from PulmCrit - https://emcrit.org/pulmcrit/ntg/Nebulized nitro from the American Academy of Emergency Physicians - https://www.aaem.org/UserFiles/file/CS21_MarAprCCMS.pdf Nebulized Nitro - https://rc.rcjournal.com/content/57/3/444Support the showMedic and RN CE's available over at academy.flightcrit.com