Acute aortic syndrome
Educational use only. Not clinically reviewed58-year-old man for Serial asymmetry assessment and urgent acute-aortic-syndrome pathway. About 8 simulated minutes.
What you will practise
- Integrate abrupt maximal-at-onset chest-to-back pain with a plausible coronary alternative without leaking a definitive diagnosis.
- Repeat bilateral pressure, pulse, limb-perfusion, and neurologic assessment when pain migrates and new symptoms appear.
- Activate a multidisciplinary aortic pathway and protect the patient from unsupported default coronary or stroke treatment.
- Record monitored analgesia and local-protocol anti-impulse intent toward heart-rate and perfusion-preserving pressure goals.
- Prioritize urgent definitive aortic imaging while repeating malperfusion checks and handing off changes and uncertainty.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Isselbacher EM, Preventza O, Black JH 3rd, et al. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease. Circulation. 2022;146:e334-e482.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.