Bingo. Turned out to be acute PE on an already very sick heart (severe AS, moderate to severe MR, trans mitral gradient, AF). Very old patient, still alive at the moment

Hypotensive and hypoxic. Next step? #POCUS #MedEd #MedSky

Sent to the ED by PCP for fever and “left lower lobe consolidation”. Was still waiting for chest X-Ray.
~ 1 lt of purulent fluid drained.
#POCUS #POCUSFirsr #USFirst
#ButterflyIQ