Syncope

Mid 50's M called for dizziness with syncope x1. Onset was sudden about 15 minutes prior to calling. No recent nausea, vomiting, diarrhea, bleeding, or illness. Hadn't taken night time BP meds. He didn't know the reason for thinner use.

Complaints: dizziness, syncope, chest pain, slight shortness of breath

Hx: Back pain, sciatica, HTN (meds included HCTZ, Metformin, apixaban, and a few others I don't recall).

Vx: GCS 15, HR 130, SpO2 93%, BP unobtainable (auto/manual/palp) and only once registered 87/34, EtCO2 18, RR 30, Temp LO, BGL 205.

The author made an update to this case

Update 1

So the PT went into cardiac arrest on the CT table. CT showed a saddle PE.

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