RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive. What is your next step in management?

Resolution: Alteplase. Significant RV strain from massive embolus-->LV inability to pump-->hypotension/peri-arrest. In the setting of hypotension & this echo (assuming pt full code, this pt was 60yrs old), give tpa (alteplase) 10mg bolus followed by 90mg iv infusion over 2 hours.

#RVStrain #Pulmonary #Embolism #POCUS #Echocardiogram #clinical #ultrasound #DSign #AcutePE
Contributed by

Meghan Kelly Herbst, MD
UCONN Associate Professor in Emergency Medicine. Ultrasound Fellowship Yale 2011. Family, patients, education, running = my life. https://twitter.com/EUSmkh | https://www.instagram.com/eus_mkh/

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