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Case Rep Emerg Med. 2012;2012:794019. doi: 10.1155/2012/794019. Epub 2012 May 31.

Detection of Acute Pulmonary Embolism by Bedside Ultrasound in a Patient Presenting in PEA Arrest: A Case Report.

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1
Department of Emergency Medicine, University of California San Francisco, Room M24, 505 Parnassus Avenue, San Francisco, CA 94143, USA.

Abstract

Optimal management of the critically ill patient in shock requires rapid identification of its etiology. We describe a successful application of an emergency physician performed bedside ultrasound in a patient presenting with shock and subsequent cardiac arrest. Pulmonary embolus was diagnosed using bedside echocardiogram and confirmed with CTA of the thorax. Further validation and real-time implementation of this low-cost modality could facilitate the decision to implement thrombolytics for unstable patients with massive pulmonary embolism who cannot undergo formal radiographic evaluation.

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