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Case Reports in Emergency Medicine
Volume 2012, Article ID 794019, 5 pages
http://dx.doi.org/10.1155/2012/794019
Case Report

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

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

Received 25 February 2012; Accepted 10 April 2012

Academic Editors: J.-N. Lin and X. Zhang

Copyright © 2012 Hangyul Chung-Esaki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.