Massive PE with RV Failure

Brief narrative description of case
A 70 year old female with history of HTN, MI, CVA who presents to the ED via EMS following multiple syncopal episodes, she reports associated dyspnea on exertion. She is tachycardic and hypotensive. She is status-post right knee replacement 3 weeks ago and has recently been sedentary. Patient had a cardiac arrest en route; ROSC was obtained and she is intubated. The goal of this case is to recognize PE as a potential emergent etiology of syncope, use bedside Transesophageal Echo (TEE) to diagnose PE and help guide initial management of massive PE.

Abdoulie Gaye, DO Robert Stenberg, MD

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