Abstract
OBJECTIVE: To establish a standardized pulmonary embolism (PE) stratification and diagnosis model while ensuring consistency in response times and therapeutic strategies. METHOD: In 2019, Mexico's first PE response team (PERT) was established at Zambrano Hellion Hospital through the Venous Thromboembolism rapid response team (PREVENTION). The program underwent restructuring, drawing on emerging evidence regarding new PTE phenotypes, risk stratification scales, catheter-directed therapies, extracorporeal membrane oxygenation utilization, and the necessity of a collaborative network with the shock team. As a result, the PERT-PREVENTION care protocol was developed, integrating key enhancements to elevate the quality of care. This protocol incorporates advanced strategies to optimize the management of intermediate-risk PE, a category in which selecting the most effective treatment remains a clinical challenge. RESULTS: This approach places the patient at the center of decision-making, promoting a unified, multidisciplinary approach that favors the implementation of individualized strategies based on the best available evidence. CONCLUSION: The PERT-PREVENTION protocol is designed as a reference model within the institution to refine the identification and application of diagnostic and therapeutic strategies in PE. This approach places the patient at the center of clinical decision-making and renders a unified multidisciplinary framework, enabling the implementation of individualized evidence-based strategies.