Table 2

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].