Occupational pulmonary embolism − A silent killer on the roads: A case series

Some occupation-related practices contribute significantly to the morbidity because both employer and employee are unaware of the risk. The authors have described two subjects with job profile of ticketing on board (bus conductors) who had a habit of sitting continuously at a designated conductor place for ticketing in their 8-h duty and rarely getting up in between. They presented with dyspnea in the outpatient department of pulmonary medicine without an antecedent history of any chronic ailment or family history of coagulopathy. These professionals had venous stasis, leading to pulmonary thromboembolism (PTE). PTE was diagnosed on the basis of contrast-enhanced computed tomography pulmonary angiography. The other causes of PTE were ruled out. They were treated as per the guidelines on PTE and were advised frequent walking in the bus during their duty hours. However, this has to be instructed to all the employees by the employer.