Robbie

This patient has a high burden of pulmonary emboli, profres.

So he has, I'll just took a snapshot of where I'm talking.

So he has basically a saddle pulmonary embolism that bridges both the right and left main pulmonary trunks.

So I'm looking now to see what's happening.

And unfortunately for him, his RV is way bigger than his LV2.

He's got septal deviation to the left.

So this is a very, very serious situation.

I think the next steps, so what happened, RVA is very well prepared for this scenario, which, as it should, takes the onus on the very, the job of the ER doctors to diagnose this, not to sit there and fine tune whether the patient should get thrombolysis or not.

So we have a PE response team.

So this would get an automatic call to the PE response team.

And what would I be responsible for?

I would be responsible for doing a thorough review of systems about bleeding.

And then thinking about the head, making sure the patient has to hit their head, which a patient with syncope, you definitely have to do a head strike.

And then getting a weight to make sure we can dose the heparin and noxiparin.

And I think I would be engaging it.

The conversation would be in a patient like this about not just anticoagulation,

but the nuances of thrombolysis, which I'm sure we can touch on or discuss.

But what would I actually be doing?

I'd be like, okay, you know, we have an answer now.

And then I would call the PE response team.