Introduction Introduction procedures associated with pulmonary embolism hip fracture elective total hip arthroplasty login to view 1 more bullet elective total knee arthroplasty spine fracture with paralysis early diagnosis and treatment is most important factor for survival Presentation Saddle emboli can present with death PE should be suspected in postoperative patients with acute onset pleuritic pain and dyspnea tachypnea tachycardia Evaluation EKG most common finding on EKG during PE is sinus tachycardia ABG Imaging CXR is usually normal may show a prominent hilum nuclear medicine ventilation-perfusion scan (V/Q) most helpful for dye-sensitive patients pulmonary angiography is gold standard helical chest CT widely considered first line imaging modality Treatment Nonoperative continuous IV heparin infusion followed by warfarin therapy indications login to view 1 more bullet technique login to view 4 more bullets thrombolytics indications login to view 1 more bullet technique login to view 1 more bullet Complications