Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with sudden onset of dyspnea, chest pain, and hypotension following [procedure/event]. Associated symptoms include tachycardia, altered mental status, and audible "mill-wheel" murmur. Onset occurred [time] post-intervention.
Clinical Examination Findings
Cardiovascular: Tachycardia, hypotension, jugular venous distension. Respiratory: Tachypnea, decreased breath sounds, hypoxemia (SpO2 [value]%). Neurological: Potential focal deficits or altered consciousness. Skin: Possible livedo reticularis or cyanosis.
Treatment Protocol
Immediate cessation of the causative procedure. Place patient in Trendelenburg and left lateral decubitus position (Durant maneuver). Administer 100% high-flow oxygen. Secure airway and initiate aggressive fluid resuscitation. Consider hyperbaric oxygen therapy if indicated.