What is the fine-grained topic of the following text: This was followed by Dr. Randolph who presented a case of an incredibly complicated patient with a pulmonary embolism to highlight the steps in management of a decompensating patient with a pulmonary embolism before you initiate thrombolysis. Only return the topic.
Management steps for a decompensating patient with pulmonary embolism before initiating thrombolysis.