SIMULATION CASEBOOK - MyCourses

Gilbert Program in Medical Simulation
Simulation Casebook
Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12
Neutrophils (%) 57 54 – 62%
Band forms (%) 4 3 - 5 (>8% indicates L shift)
Basophils (%) 0.75 0 – 1% 0 - 0.75%
Eosinophils (%) 2 0 – 3% 1 – 3%
Lymphocytes (%) 32 24 – 44% 25 – 33%
Monocytes (%) 4 3 – 6% 3 – 7%
Hemoglobin (HGB) 15.0 13.5 - 16.5 g/dL 12.0 - 15.0 g/dL
Hematocrit (HCT) 39.0 41 – 50% 36 – 44%
Red blood cell (RBC) 4.8 4.5 - 5.5 M/uL 4.0 - 4.9 M/uL
RBC Distribution Width 10.0 < 14.5%
MCV 92 80 – 100 fL
MCH 32 26 – 34 pg
MCHC 34 31 – 37 g/dL
Platelet 420,000 100,000 - 450,000 K/uL
XI. Appendix B: Diagnostic Studies
Chest X-Ray: Normal
http://www.med.yale.edu/intmed/cardio/imaging/findings/normal_chest_pa2/index.html
http://www.rctradiology.com/icons/normalchest.jpg
ECG: Inferior STE, bradycardia
http://1.bp.blogspot.com/_ES0GyVWZYyw/TKoOtvelRI/AAAAAAAAAaw/gxeujTTZ8FA/s1600/Inferior+STEMI+due+to+Circumflex+occlusion.jpg
XII. Appendix C: Teaching Materials
Angioplasty Video
http://www.youtube.com/watch?v=gcrLzOkACgk&feature=channel
XIII. Appendix C: Interesting articles to discuss/reference
a) Canto J, et al. Prevalence, Clinical Characteristics, and Mortality Among Patients With
Myocardial Infarction Presenting Without Chest Pain. JAMA Jun 28 2000; 283 (24): 3223 –
3229.
b) Henrigues J, et al. Primary Percutaneous Coronary Intervention Versus Thrombolytic Treatment:
Long Term Follow Up According to Infarct Location. Heart Jan 2006; 92 (1): 75 – 79.
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