If you suspect pulmonary embolism, what is the immediate EMS focus?

• A. Administer anticoagulants on scene.
• B. Provide oxygen if hypoxic, monitor vitals, transport rapidly; manage symptoms and call for medical control.
• C. Delay transport to obtain imaging.
• D. Do not transport until diagnostic confirmation.

Answer: (B)

When you suspect a pulmonary embolism, the priority is to support breathing and circulation and get the patient to definitive care quickly. Provide oxygen if the patient is hypoxic to improve blood oxygen levels, and continuously monitor vital signs to catch any deterioration. Manage symptoms to reduce distress and work closely with medical control for any additional orders. Then transport rapidly to a facility capable of advanced imaging and treatment.

This approach is best because diagnosis of PE relies on hospital-based imaging and therapies, and prehospital teams focus on stabilization and quick transfer. Administering anticoagulants on scene isn’t typically within EMS scope and carries bleeding risk that needs hospital assessment. Delaying transport for imaging or waiting for a confirmed diagnosis on scene would delay potentially lifesaving treatment.