Question

A 58-year-old with suspected PE is hypotensive with signs of shock. While awaiting CTPA, what is appropriate?

Accepted Answer

Stabilize with vasopressors and proceed to CTPA if feasible; consider systemic thrombolysis if high suspicion and imaging delayed/unavailable

Answer

Start thrombolysis without imaging in all hypotensive patients

Answer

Wait for imaging without treatment

Answer

Start warfarin only

Answer

Order V/Q scan exclusively

Practice question

A 58-year-old with suspected PE is hypotensive with signs of shock. While awaiting CTPA, what is appropriate?