Scenario overview A 42-year-old man arrives by personal transport from restaurant after sudden onset of chest pain. EKG shows ST segment elevation myocardial infarction (STEMI) but patient has aortic dissection. CXR shows mediastinal widening. The team will need to diagnose aortic dissection and appropriately treat. Confrontation is created when the patient's neighbor who is a cardiologist arrives and demands lytics due to the cath lab being closed for floor waxing. The patient's spouse sides with cardiologist forcing the team to skillfully explain their reasoning. Teaching objectives/discussion points Clinical and medical management.
|Title of host publication||Simwars Simulation Case Book|
|Subtitle of host publication||Emergency Medicine|
|Publisher||Cambridge University Press|
|Number of pages||4|
|State||Published - Jan 1 2015|