SAQ 781 – Respiratory – massive pulmonary embolism after cardiac arrest

A 45-year-old man is brought to your ED after an out-of-hospital cardiac arrest. ROSC was achieved after two cycles of CPR and 1 mg adrenaline. Initial POCUS images are shown.

List four (4) important abnormal POCUS findings.

(Marked out of 4.0)

Observation	Value
Temperature	36.6 C
Pulse	45 bpm
BP	85/50 mmHg
RR	30/min
SaO2	90% on 15 L oxygen via face mask
GCS	12/15

/ 4

What is the most likely diagnosis?

(Marked out of 1.0)

/ 1

List three (3) other POCUS findings that would support this diagnosis.

(Marked out of 3.0)

/ 3

List two (2) pros and two (2) cons of a specific treatment you would consider for this patient.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Pros</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Cons</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 4

Total Score: 0 / 12

Percentage: 0%