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Emergency Medicine Attending (Consultant) PGY23. History, Physical, #POCUS!

Sep 30, 2020, 5 tweets

Thread 1/4 - #POCUS Case - MPA+bilateral PE. HR 110, BP 94/68, Sats 98% room air. Subjectively, patient feels well, no dyspnea/pain. Warm skin. Shifted to EM Resus. Lytic or not? Young pt, no known co-morbids / provocation.

2/4 #POCUS - RV does not seem dilated

3/4 #POCUS - IVC seems collapsed

4/4 Tn 4 ng/l, BNP normal. IV fluid boluses administered, hemodynamics normalized, patient discharged on 3rd day with oral anticoagulation.

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