07-03-2019, 11:16 AM
Chest Pain on the Ward
Created Aug 2015
Developed by:
Kyla Caners
Developed for: http://www.emsimcases.com
Submitted by: CChiste
Contact Email: kcaners@gmail.com
Peer Reviewed: Yes
Case Summary:
The case will begin with a phone call from the bedside nurse for a patient on the ward that the resident on call is covering. The resident will then arrive at the bedside to find a patient complaining of significant chest pain. The patient will be in some respiratory distress due to CHF. The patient’s initial ECG will show new T-wave inversion. The patient will prompt regarding ongoing chest pain and his ECG will evolve to show an anterolateral STEMI. The team is expected to recognize the evolving STEMI and initiate treatment and cath lab activation.
Target Learning Groups:
Undergrad Medicine, Physicians
Additional Target Learning Groups:
Resident, R1, R2
Proposed Setting:
Ward
Educational goals:
To review an approach to chest pain in the admitted patient and to review resources available to junior learners when on call overnight.
Additional Details:
References:
https://emsimcases.com/2017/12/05/chest-pain-on-the-ward/
Scenario Links:
http://i0.wp.com/lifeinthefastlane.com/wp-content/uploads/2011/12/normal-sinus-rhythm.jpg
Additional Tags: CHF, BIPAP, Cath Lab, Chest Pain, STEMI
If you would like further information about this scenario please contact kcaners@gmail.com or leave a comment below.