⚡ Interactive Scenario · Phase 2
A 45-year-old male presents to the emergency department with sudden-onset shortness of breath and hypotension.
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Mr. Emeka Bello, 45M
Chief complaint: SOB · Hypotension · Arrived via ambulance
BP: 88/60
HR: 118 bpm
SpO₂: 88%
RR: 28/min
Temp: 37.8°C
The patient is diaphoretic and in moderate respiratory distress. Breath sounds are decreased on the right. JVD is noted. You are the on-call physician. Your consultant is not immediately available.
What is your next best action?
A
Order a stat chest X-ray and await results before intervening
B
Perform bedside POCUS to assess for pneumothorax or effusion
C
Intubate immediately and transfer to ICU
D
Start IV fluids and reassess in 30 minutes