Acute Anterior ST-Elevation Myocardial Infarction (STEMI)
Select any organ system to smoothly glide the 3D camera and highlight the anatomical target zone on the patient model.
DIAGNOSIS PAD
Demographic + Tempo (Sudden) + Cardinal Symptom (Crushing retrosternal pain radiating to arm/jaw) + Risk Factors (Smoking, HTN).
Frank Jenkins (54yo Male)
Arrival: 14:32 • Mode: Paramedic Ambulance • Triage Level 1 (Resuscitation)
Chief Complaint
"Doctor, I can't catch my breath... It feels like an elephant is sitting on my chest."
Initial Triage Impression
Diaphoretic male clutching sternum with fist (Levine sign). Tachypneic and pale. Immediate resuscitation protocols indicated.
Clinician Directive
You are the Emergency Physician on duty. Gather targeted history, perform a focused step-by-step physical exam, order STAT investigations, interpret 12-lead ECG, prescribe evidence-based pharmacotherapy, and formulate your clinical reasoning.
Interactive History Taking (SOCRATES)
Diagnostic Investigation Studio & ECG Lightbox
Realistic turnaround timesPharmacotherapy Prescription Engine
Realistic 6-parameter drug orderActive Medication Administration Record ()
Clinical Procedural Simulation Lab
Step sequencing & sterile executionStructured Clinical Reasoning Workspace
Chronological Case Timeline & Decision Audit
logged eventsClinical Alert Feed
Discovered Key Findings
Interconnected Resources
10-Point Multidimensional Clinical Debrief
Case: Acute Anterior STEMI • Overall Score: 91% (Pass with Honors)
Clinical Competency Breakdown
Demonstrated Strengths
- STAT 12-lead ECG ordered within ≤ 5 minutes of arrival.
- Correct loading dose of Aspirin (300mg) and Ticagrelor (180mg) prescribed.
- Accurate identification of anterior STEMI and reciprocal inferior depression.
Clinical Pearls & Next Steps
- Always verify renal function before high-volume contrast during PCI.
- Screen for right ventricular involvement (lead V4R) if inferior ST changes occur.
Synapse Neural Assistant
Tanzania STG & Evidence-Based Clinical Reasoning