In the case of a massive saddle pulmonary embolism, what is the appropriate intervention?

In the scenario of a massive saddle pulmonary embolism, the most appropriate intervention is to give fibrinolytics. A massive pulmonary embolism significantly obstructs blood flow to the lungs and can lead to rapid deterioration of the patient’s hemodynamic status. Fibrinolytics work by dissolving the clot that is blocking blood flow, which can quickly restore circulation and improve oxygenation in patients suffering from such critical conditions.

Timely administration of fibrinolytics can be lifesaving, particularly in cases where there is hemodynamic instability or cardiac arrest due to the embolism. This intervention is preferable in a severe scenario where there is significant risk of mortality, as it is designed to address the underlying cause directly, rather than just supporting symptomatic treatment.

Other interventions, like administering heparin, starting intravenous fluids, or performing CPR, can be part of a comprehensive management plan but are not the primary treatment aimed at resolving the acute obstruction caused by a massive saddle pulmonary embolism. Heparin is utilized for anticoagulation, intravenous fluids help support blood pressure and circulation, and CPR is a critical resuscitative measure for cardiac arrest but does not resolve the embolism itself. Thus, while these methods may be necessary in supportive care, the focus for intervention