The helicopter landed at the university medical center, and the patient was rushed to the cath lab. In the cath lab, a 100% occlusion of the right coronary artery was discovered.

The entire cath report (3 pages containing the full procedure note) is shown below, only for MedMalReviewer subscribers.

After placement of two stents and a balloon pump, the patient was admitted to the cardiac ICU.

The patient’s hemodynamic status slowly worsened. A family conference was held, and after discussion of her prognosis, the family elected to stop aggressive support and focus her care on comfort. She tragically died later that day.

The legal issues in this case are discussed next.