Scenarios

1. 1

   Focused history: new chest pressure in the emergency department

   Take a brief chest-pressure history, assess dangerous symptoms and relevant risks, and explain the need for immediate team assessment.

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2. 2

   Focused history: progressive breathlessness

   Ask about breathing changes, sleep, swelling, and medicine barriers, then identify symptoms needing urgent assessment and explain the next step.

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3. 3

   Focused history: a racing or fluttering heart

   Characterize episodes, screen for urgent symptoms, review stimulants and cardiac risks, and address anxiety without assuming it explains the palpitations.

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4. 4

   Focused history: fall with possible blackout

   Clarify a fall and possible blackout, review injury and medicine risks, and explain why prompt assessment is needed while respecting independence.

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5. 5

   Consult: cardiology for urgent chest discomfort

   Present the urgent chest-pain concern, explain relevant findings and uncertainty, request cardiology input, and confirm responsibilities, timing and escalation.

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6. 6

   Focused history: new chest discomfort and work concerns

   Take a focused chest-pain history, acknowledge work concerns, screen urgent symptoms, and summarize findings for prompt review by your preceptor.

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