Crushing Chest Pain: An Anterior ST-Elevation Myocardial Infarction in a 58-Year-Old Man
A branching clinical case simulation for a patient presenting with crushing central chest pain for 40 minutes. Take a history, examine, investigate, diagnose and treat while the patient responds to every decision, then see the score by clinical domain with the reasoning for each mark.
Year 4medium20 min6 stages
- Patient
- 58 years, male
- Presenting complaint
- Crushing central chest pain for 40 minutes
- Decision stages
- History, Examination, Investigations, Diagnosis, Treatment, Monitoring
The presentation
Mr. Thompson is a 58-year-old man who has arrived at the emergency department with crushing central chest pain that started 40 minutes ago. He is pale, sweaty, and clearly in pain. You are the resident doctor on duty. The triage nurse has put him on a trolley in the acute area. You need to act quickly.
What this case teaches
Recognise STEMI on the ECG; give immediate antiplatelet and analgesic treatment; arrange primary PCI within target times; avoid the drugs that harm in an acute MI.
How the case unfolds
- 1Initial HistoryHistory
- 2Focused ExaminationExamination
- 3Initial InvestigationsInvestigations
- 4Interpreting the ECGDiagnosis
- 5Immediate Treatment and ReperfusionTreatment
- 6Monitoring and TransferMonitoring
The decisions available at each stage, and what each one costs or earns, appear when you run the case.
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A free account opens the simulator: the patient's observations move with your decisions, and every choice is scored and explained.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.