TABLE 4.

Acute myocardial infarction healthcare cooperation high-fidelity simulation practical training case.

Case title	Acute myocardial infarction
Teaching goal	① Cognitive domain: recognize the etiology of acute myocardial infarction, associated risk factors, and clinical manifestations. ② Action skill domain: medical students need to apply the knowledge they have learned to skillfully implement the receiving process, body check, cardiopulmonary resuscitation, bedside electrocardiogram, defibrillation; nursing students need to skillfully implement indwelling catheterization, intravenous fluids, and collection of blood specimens; and medical and nursing students jointly master the resuscitation process. ③ Emotional domain: students embody humanistic care through good communication with patients and their families; through the implementation of treatment as well as nursing measures for patients, students develop a collaborative attitude toward healthcare.
Case description	Patient, male, 61 years old, chief complaint and history: the patient complained of chest pain that suddenly appeared 1 h ago with no obvious cause, the pain site is mainly in the precordial area, and the pain range is about the size of the palm, the pain is pressure-like pain, accompanied by profuse sweating, palpitation, radiating pain in the back of the shoulder and the pharynx, there is no nausea, vomiting, there is no tightness in the chest, shortness of breath, fatigue, there is no coughing, coughing up sputum, hemoptysis, Self-medication “fast-acting heart pills” after the symptoms did not relieve, and he called 120 and came to our hospital urgently. He underwent cardiopulmonary resuscitation and electrocardiogram showed “acute extensive anterior wall myocardial infarction,” and was transferred to our department for thrombolytic therapy. Past history: 10 years history of hypertension and coronary heart disease. Physical examination: temperature 36.5°C, respiration 21 times/min, pulse 90 times/min, blood pressure 90/59 mmHg, clear, superficial lymph nodes are not palpable enlargement, lips and lips without cyanosis, no jugular veins; symmetry of the thorax, the lungs breath sounds thick, heard full lung wet rales, percussion of the cardiac boundary is not big; listening to the rhythm of the heart is synchronous, the valvular auscultation area did not hear a murmur; the abdominal flat and soft, no compression pain and rebound pain The abdomen was flat and soft, with no pressure or rebound pain. The liver and spleen were not palpable, and there was no edema in the lower limbs. The electrocardiogram showed that the V1-V5 ST segments were elevated about 0.3–0.5 mv.
Scenario setting	Scenario 1: out-of-hospital treatment ① Doctor’s task: 120 telephone reception, instructing family members to perform cardiopulmonary resuscitation, bedside electrocardiogram measurement, decision-making, and completion of medical orders; ② Nurse’s task: oxygen supply, establishment of intravenous access, and administration of medication in accordance with medical advice; ③ Medicine and nursing joint task: communication of the patient’s vital signs, and comforting the patient’s family members. Scenario 2: in-hospital emergency care ① Doctor’s task: explain the patient’s condition, bedside electrocardiogram, cardiopulmonary resuscitation, and defibrillation, to complete the doctor’s orders; ② Anesthesiologist’s task: endotracheal intubation, simple respiratory balloon ventilation; ③ nurse’s task: the preparation of resuscitation supplies, coordination of various departments to do a good job of resuscitation preparations, blood sampling, resuscitation records; ④ healthcare common task: communication of the patient’s vital signs Scenario 3: internal medicine treatment ① Doctor’s task: physical examination, asking the family about the patient’s medical history, decision-making about thrombolytic therapy, judgment of the condition; ② Nurse’s task: blood sampling, thrombolytic operation, changing the patient’s position, oxygenation, indwelling catheterization, resuscitation records; ③ Healthcare co-worker’s task: explaining to the patient’s family about the treatment and recommendation for transferring to a different hospital.