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The Heart of the Problem hand-in .pdf - NATIONAL CENTER FOR...

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Page 1“The Heart of the Problem” by Garner and ReeNATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCEPart I – EmergencyMrs. Helms came in through the front door of her house with an armful of groceries. She put the bag down on thekitchen counter and called to her husband. “Herb, I’m home! Are you ready for lunch?” She didn’t get an answer,so she walked to the living room and found Mr. Helms lying on the floor. “Herb! Are you okay?” she asked as shegrabbed his shoulder. Mr. Helms responded weakly while clutching his chest. Mrs. Helms frantically called 911. Itonly took EMS a few minutes to arrive and the paramedics transported Mr. Helms to the hospital. Upon admission tothe hospital, Mr. Helms’ vital signs were recorded as follows:Mr. HelmsNormalSystolic blood pressure (mm Hg)90120Diastolic blood pressure (mm Hg)5280Oral temperature (°F)98.997.8 to 99.1Heart rate (beats per minute)120, irregular60–80Respiratory rate (breaths per minute)33, labored12 to 20Oxygen saturation89%95–100%Questions1. Which of Mr. Helms’ vital signs and lab values were abnormal?2. What additional medical tests would you order for Mr. Helms? In other words, what other information wouldbe useful?

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