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Aortic dissection. Cardiovascular. Chest pain.

A 25 yr old NFA with recurrent visits for polysubstance use and OD’s presents with decreased LOC. His girlfriend says he did upper and then downer. He arrives agitated, screaming, and complaining of chest pain.

Goals and Objectives

Objectives (Medical and CRM):

  • Recognize the different chest pain mimics in cocaine abusers.
  • Recognize the therapeutic dilemmas caused by polysubstance overdose.
  • Demonstrate the principles of management of suspected aortic dissection.
  • Communicate effectively with team and summarize patient presentation and changes to team.


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