A 60-year-old male presents with sudden onset of a painful, swollen, hot left leg. He is breathless with a respiratory rate of 22 and SpO2 of 94%. He ...

Question

A 60-year-old male presents with sudden onset of a painful, swollen, hot left leg. He is breathless with a respiratory rate of 22 and SpO2 of 94%. He had hip replacement surgery 3 weeks ago. His heart rate is 110 bpm and blood pressure is 100/65 mmHg. What pre-hospital assessment finding would most increase the suspicion of a massive PE with haemodynamic compromise?

Accepted Answer

A systolic blood pressure of less than 90 mmHg

Answer

A heart rate of greater than 150 bpm

Answer

Right ventricular heave on palpation

Answer

Bilateral leg swelling

Answer

An SpO2 of less than 90%

uk-dipimc MCQ (SBA): Massive PE