Summary of Hestia criteria
| Hestia criteria |
| 1) Haemodynamically unstable? e.g. systolic blood pressure <100 mmHg, heart rate >100 beats per min |
| 2) Active bleeding or high risk of bleeding? e.g. gastrointestinal bleeding/surgery ≤2 weeks ago, stroke ≤1 month ago, bleeding disorder or platelet count <75×10⁹·L−1, uncontrolled hypertension (systolic blood pressure >180 mmHg or diastolic blood pressure >110 mmHg), clinician judgment |
| 3) Need for oxygen for >24 h to maintain oxygen saturation >90%? |
| 4) Medical or social reason for hospital admission >24 h? |
| 5) Thrombolysis or embolectomy necessary? |
| 6) Pregnant? |
| 7) Severe liver impairment or disease? |
| 8) Creatinine clearance <30 mL·min−1? |
| 9) Documented history of heparin-induced thrombocytopenia? |
| 10) PE diagnosed during anticoagulation treatment? |
| 11) In severe pain needing i.v. medication for >24 h (or multiple doses in the emergency department?) |
Information from [13].