<prompt> A elderly gravida G6P5 became disoriented, lightheaded, breathless, and cyanotic 20 minutes after an uncomplicated spontaneous vaginal term delivery. Her blood pressure is 8040 mm Hg, pulse is 110min, and respiratory rate is 30min. O2 saturation is 75 on face mask.A generalized purpuric rash and bleeding from the I.V line site are seen. Which of the following is the most appropriate next step in management of this patient?Abdominal ultrasoundIntramuscular magnesium sulfateIntravenous heparinIntubation and mechanical ventilation  <response>: The above history is suggestive of Amniotic fluid Embolism - Treatment is mainly suppoive to correct the hypoxemia eg, oxygen, intubation, mechanical ventilation and hypotension eg, vasopressors. Since this patient is in shock and is showing signs of hypoxia, immediate resuscitation in the form of intubation and mechanical ventilation is the next best step. 