Q: What are the two evaluations in the diagnosis of pulmonary embolism (PE) with bedside focus cardiac ultrasound (FoCUS)?
Answer: Point Of Care Ultrasound (POCUS) and Focus Cardiac Ultrasound (FoCUS) has now become a standard of care in ICU management.
If the following two are demonstrated simultaneously on a patient, it almost confirms the diagnosis of PE:
- ratio of the size of Right Ventricle (RV) and Left Ventricle (LV) more than 1:1
- a floating thrombus in the RA, RV, or a clot in transit