Question

A 58-year-old with possible PE is hemodynamically unstable with syncope and hypotension. Best immediate step?

Accepted Answer

Begin heparin and arrange emergent reperfusion (systemic thrombolysis if no contraindication)

Answer

Obtain V/Q scan first

Answer

Wait for D-dimer

Answer

Discharge with outpatient CT

Answer

Start warfarin only

Practice question

A 58-year-old with possible PE is hemodynamically unstable with syncope and hypotension. Best immediate step?