In this scenario, you are called to evaluate an adolescent in the Emergency Department for severe chest/epigastric pain, headache, and emesis. The patient is a 15-year-old previously healthy male who developed fever, nasal congestion, rhinorrhea, cough, and malaise 1 week ago. He was seen by his PMD and started on anti-reflux medications. He initially started to feel better but over the past 2 days developed dyspnea, chest pain, intermittent productive cough, and has been unable to sleep. Learners must perform needed assessments and interventions and finally admit the patient to the CTICU.

Learning Objectives

‘- Recognize abnormal findings and respond with appropriate interventions
– Send initial labs
– Communicate effectively with pediatric cardiologist
– Admit patient to CTICU for further management