All right, so welcome back to the Internet Book of Critical Care podcast.

We have just a small cast here on Submassive and Massive PE.

That's hyperbole, ladies and gentlemen.

This is going to be like a sepsis version of a long format discussion.

But who could talk about PE without a long description,

any Josh?

Yeah, I think this is probably going to be more controversial

than the sepsis talk, believe it or not.

That's because we have everything in here.

Josh has included diagnosis and risk stratification,

and remember, that's for an ICU-level patient.

We were going to go into the physiology

and that RV circle of death for PE.

We'll talk about all things, resuscitation, anticoagulation thrombolysis.

We've got your hodgepodge of treatments and then those unusual and confusing situations

that you guys asked about on Twitter.

So Josh, we have no time to spare.

Let's get right into it.

Tell me about the preamble that we need to

know coming into today's podcast. This is really challenging disease. The evidence basis for

a lot of the things that we're going to be talking about are not fantastic. Unfortunately,

we need to face these challenges on a day-to-day basis. So we're basically going to provide

...