MC

Pre-Flight Briefing: Marcus Cole

AGE 58 · MALE · DOB 14 MAR 1967 · MRN-00284

URGENT

AI-Generated Chart Summary

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Chief Complaint Severe, sudden-onset chest pain radiating to the back. Patient describes onset approximately 40 minutes ago.

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Relevant History 15-year history of uncontrolled hypertension. Documented non-compliance with Lisinopril 10mg. Last BP recorded: 178/108.

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Medication Review No current anticoagulants on file. No known allergies. Last ECG: 14 months ago, borderline LVH.

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AI Risk Flag — HIGH Presentation pattern consistent with high risk for severe vascular event. Differential requires urgent triage.

Generated 0:00 ago · Socrates AI v2.4

LIVE

Active Visit: Marcus Cole

BP 180/110 mmHg ▲

Patient — Marcus Cole

"It hit me all of a sudden. It's the worst chest pain of my life. It feels like something is ripping right through to my back."

Dr. Chen

"We are treating this as an acute heart attack. Nurse, immediately administer 324mg of Aspirin and start a Heparin drip."

Socrates AI — Clinical Pause

Doctor, you initiated the Heart Attack protocol. However, the patient described pain as "ripping to the back" with severe hypertension (180/110). Before administering blood thinners, what critical vascular condition must you recall and rule out?

Dr. Chen

"Wait... ripping pain. Aortic Dissection. Cancel the Heparin. If it's a dissection, the blood thinners will be fatal. We need a STAT CT Angiogram immediately."

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Correct. Pattern interrupted. CT Angiogram ordered. Heparin withheld.

Socrates AI · Auto-Charting

Visit Complete. Generating SOAP Note…

S — Subjective

O — Objective

A — Assessment

P — Plan

ICD-10 AUTO-CODED

I71.01 — Dissection of thoracic aorta

I10 — Essential hypertension

R07.9 — Chest pain, unspecified