Читать книгу Emergency Medical Services - Группа авторов - Страница 246

Pulmonary embolism is a great masquerader because its symptoms may be similar to those of other causes of chest pain and shortness of breath. Its presentation can easily be confused with myocardial infarction or anxiety. Treatment should focus on maximizing oxygenation to the patient. If pulmonary embolism is suspected, nitroglycerin should be avoided because it can cause significant hypotension. Administration of fibrinolytics may potentially benefit the patient, but it is preferable to delay administration until the patient has reached a hospital and undergone definitive diagnostic imaging.