A 62-year-old has sudden collapse, obstructive shock and pulseless electrical activity. Pulmonary embolism is strongly suspected and there is no known...

Question

A 62-year-old has sudden collapse, obstructive shock and pulseless electrical activity. Pulmonary embolism is strongly suspected and there is no known absolute contraindication to thrombolysis. In addition to standard cardiac-arrest care, what should the team consider?

Accepted Answer

Give systemic thrombolysis during resuscitation for suspected pulmonary embolism

Answer

Give a direct oral anticoagulant through a nasogastric tube

Answer

Insert an inferior vena cava filter before thrombolysis

Answer

Obtain CT pulmonary angiography before thrombolysis

Answer

Give a low-dose six-hour thrombolytic infusion after return of spontaneous circulation

Massive Pulmonary Embolism-Arrest — MRCEM SBA MCQ

A 62-year-old has sudden collapse, obstructive shock and pulseless electrical activity. Pulmonary embolism is strongly suspected and there is no known absolute contraindication to thrombolysis. In addition to standard cardiac-arrest care, what should the team consider?