Speaker 1: The video you're about to watch depicts real events. The people you'll see are actors, but they're portraying students as they go through their interprofessional simulation exercise in our CAPE Center. This is an exercise that you'll go through as well as you progress through your interprofessional education experience. We ask that you think about the fact that these are your fellow students as you watch this. Be professional in how you view it. Be professional in how you speak about it. And think about the fact that these are your colleagues, and your goal is to help them improve their performance.

Speaker 2: Hi, Mr. Evans. Hello. Hi. My name is Sydney. I'm a medical student. They'll be taking care of you today. Okay. Can you tell me what brings you in here today?

Speaker 3: Yeah, my shoulder's been hurting me for a while. It's that one that hurts. Oh, it's this one here?

Speaker 2: Your left shoulder? Yeah. Okay. So, how did this start?

Speaker 3: I tripped over my dog a few days ago and fell on my shoulder, and it's been bothering me.

Speaker 2: Oh, so you actually fell. Okay.

Speaker 3: Yeah.

Speaker 2: Who are these folks? Well, this is your medical team here. Would you like to go ahead and introduce yourselves?

Speaker 4: Hi, I'm Frances, and I'm a pharmacist, and we're going to be helping to take care of you. I'm also a pharmacist. My name's Corey.

Speaker 2: Okay. I'm Pat.

Speaker 3: I'm your nurse.

Speaker 2: Okay. So, we're here to take care of you, Mr. Evans.

Speaker 3: What are you doing with my shirt? I'm just going to connect some leads to you. My wife was in the hallway. Can she come in, please?

Speaker 2: Oh, sure. What is your wife's name?

Speaker 3: Jamie.

Speaker 2: Jamie. Yeah, yeah, yeah. Of course. Would you mind putting Jamie out there? Okay. I'm going to go ahead and listen to your heart. Oh, yeah. Yeah. Jordan, how are you doing, baby? Your husband asked for you.

Speaker 3: Okay. I'm just still dizzy a little bit.

Speaker 4: Oh, you didn't tie your shoe.

Speaker 3: I'm still nauseated. You're nauseated still?

Speaker 4: Yeah. Oh, my gosh. Do you mind if I ask you a couple of questions? Are you allergic to any medicines?

Speaker 3: Yeah, I'm allergic to penicillin, sulfa drugs, and iodine.

Speaker 4: Okay.

Speaker 2: Okay. Right about after breakfast. Sir, you say you're feeling nauseated?

Speaker 3: Yeah, all day. All day.

Speaker 2: Okay. Do you feel like you're having any discomfort at all in your chest? A little bit.

Speaker 3: Just a little. Like, it's hard to catch my breath a little bit.

Speaker 2: You're having some trouble breathing? Sure. I know his heart rate is going up. Do you want me to give any kind of drugs? Well, no. Let's go ahead and let's get him started on some oxygen because he said he's having some trouble breathing. Like a nasal cannula? Yeah, let's do a nasal cannula and then... We should find out what meds he's on. You know what? Let's go ahead and get some Ativan. Okay. How much? Tell us what medications you're on right now.

Speaker 3: Yeah, I'm on aspirin, baby aspirin, diltiazem, zilcor, and nicotine patch for a couple of

Speaker 4: days. Baby aspirins. Let's just do standards. Zilcor. Zilcor. Diltiazem.

Speaker 2: Diltiazem? Are you taking those drugs for high cholesterol and high blood pressure? Yes. Yes, you are. Okay. And then the baby aspirin.

Speaker 3: Did you take those medications? Yeah. Okay.

Speaker 2: What are you... Ow. What are you... Well, your heart rate is just a little bit up and we think you might be just feeling a bit anxious and we noticed that you're having a little bit of trouble breathing so we're going to give you some oxygen. I just feel so dizzy right now. How much?

Speaker 4: You're dizzy now, Jordan? You're dizzy?

Speaker 2: How much? Let's just start him on about four right now. I'm sorry, baby. Yeah. So you're feeling dizzy now? Yeah.

Speaker 3: My chest feels tight.

Speaker 2: And your chest feels tight?

Speaker 3: Okay. I shouldn't have smoked that cigarette, Jamie. You had a cigarette this morning? Yeah.

Speaker 1: I know. Jordan, you're not supposed to have it.

Speaker 3: That's the thing.

Speaker 1: I know. Coach said not to have any while you're on the patch. Just a few puffs, really.

Speaker 3: What is his blood pressure reading?

Speaker 2: What? I just refreshed it. We're still waiting on that. What's he wearing? My chest feels really...

Speaker 3: Yeah. He's got the hat on now. Ow. What's going on, sir? I think he's turning a little blue. He is.

Speaker 2: He's got cyanosis. Just looking for a place. Heart rate is going way up. You know what? Let's get him started on some amiriterone. So can we get a dosage on amiriterone? Amiriterone. Oh, my God. So I'm going to give you a drug to kind of help bring that heart rate down. Oh, this hurts. How much does he weigh? A hundred pounds. It hurts me. How much do you want me to do of amiriterone?

Speaker 3: Let's go... Jamie. One fifty? Yeah.

Speaker 2: This is bad. I'm sorry, baby. Sir, we're going to go ahead and give you a medication. Oh, my God. Pushing one fifty of amiriterone. Let's also get some morphine on board here. Okay. How much morphine? Dose on morphine. Is that kind of a lot? Standard dose on morphine. Morphine. Okay. Yeah. That's going to help with the pain. And let's also do... I'm pushing morphine. Morphine. Let's also... What's going on with my husband? Oh, my God. Oh, my God.

Speaker 3: He's heart rate went up. He's hurting. He's hurting. We need to do something. Do you want me to change his smelly mask? Yeah. Let's go ahead and put a mask on him. Is it morphine angina that he's had?

Speaker 2: I think it is. It seems to be a little worse. Last time that they gave him the... They give you a sip under the tongue. Under the tongue. Yeah. Let's go ahead and do that, too. Let's go and give him sublingual mito. Okay. Oh, my gosh. I have no idea. I'm here, baby. Sir, we're going to give you something under your tongue here. Do you have that? I'm here.

Speaker 3: I can cough right now. Sir, I'm going to just kind of squirt this under your tongue.

Speaker 2: Two seconds. Okay. You have another morphine thing under your tongue. Two little squirts. Did you hear how much it was? All right. That should help with the discomfort. It disrupts? Yeah. Yeah. How's your chest feeling? It hurts. Did you give him morphine? How much was that nitro... You're giving him morphine? I gave... No, we gave him morphine already. Yeah? Yeah. How much was that? We gave him standard dosage. Yeah, standard dosage. Okay. You know what? rate is still not coming down even with the um I think we should do a cardio I've never heard of that for this yeah it was just like a mild shock that will go ahead and lower his heart we're gonna shock it well we can try to shock it back into a normal rate right now it's really high baby they're gonna shock

Speaker 4: Let's go ahead and do that okay maybe we'll back up just a little bit I don't think so I feel like I feel a little bit better this is obviously not mild

Speaker 2: He's feeling a little better he's saying okay stand clear please I can't get this to reach I don't know if

Speaker 3: Pat can you see what's going on with that? I don't know if this is right. Thank you.

Speaker 2: All right standing clear please. Are you sure this is a shock? Stand back.

Speaker 3: Oh you want to charge it? Yeah I thought it did charge it. Honey I don't know why they're doing it either baby. I don't know why they're doing it either baby. I almost wanted to allow it.

Speaker 2: All right shock administered and heart rate is going down all right good heart rate is dropping. He's going into asystole. Let's begin compressions. What's going on? I thought you said I was going to stand back. He seems to have lost his heart rate. Oh god. Yeah could you get an ambu bag out? Sure. Can somebody keep time for me please? Yeah I'm okay I'm keeping time.

Speaker 4: That's 10. Jordan. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10.

Speaker 2: 15, 30. Give him two breaths. Yeah one second. Two breaths, two breaths. Okay. Check for pulse. Do you want me to check for pulse? Yeah. Let's go on baby.

Speaker 4: Checking for pulse.

Speaker 2: We've got a pulse. Is that better? We've got a pulse. That's good.

Speaker 4: Sir? Sir? Can you hear me? Mr. Evans? Mr. Evans? Baby talk to me. Open your eyes.

Speaker 2: Mr. Evans? Okay good. All right we got him back. I think we're good.