mrcpsychb-1846

A 60-year-old woman is brought to the Emergency department after being found collapsed at home. She is a retired teacher. She has been on oral anticoagulants for some weeks after suffering a pulmonary embolism.

On assessment, you find her to be febrile, tachycardic and in need of supplemental oxygen. Her pupils are highly constricted.

What is the most appropriate next step in managing this patient?