Pulmonary Embolism Video Lecture | Based on BTS guidance 

Nice try junior. - Acute SOB should definitely include the differential of pulmonary oedema. Try spending more time in AE/CCU. - Review your classification of PE, it is wrong. - Your cardiac arrest trace demonstrates VF rhythm; PE is a cause of non-shockable arrest i.e. PEA or asystole. - Your CXR does not show Hamptons hump! It shows cardiomegaly with bilateral pleural effusions. Straightening of the AP border with RUL opacification which conforms to the lower border of the RUL. It does not silhouette the heart border. I've never seen a Hampton hump that big!. Read up please. - Need a bit more detail on your ECG. I agree sinus tachycardia is the most common finding in response to hypoxia. Right ventricular strain produces a (partial) RBBB often with TWI in V1-V4 representing RV strain. This is acute cor pulmonale. - Your ABG will show T1RF with hypocapnia from hyperventilation. This leads to hypocalcaemia and raised anion gap metabolic acidosis. Leave ABG interpretation to the registrars. - Try venturing into the management of PE in pregnant patients or is that too difficult for you. Much more to criticise but I don't want to make you cry. Now once you've finished your discharge letters go to the library and read up a bit more. From the 'lazy' registrar who has to correct everything the wannabe junior gets wrong on the take.