The Crimson Circuit
Ten cases. Read the traces, identify the pattern, and compare a modeled response.
Case archive & extras
Bureau curiosities
Case archive0 / 70 solved
37 clinical cases · 33 Rhythm Rapid Fire cases
- 01Venice
- 02Paris
- 03Istanbul
- 04Cairo
- 05Jaipur
- 06Kyoto
- 07San Francisco
- 08Buenos Aires
- 09London
- 10Montréal
DOSSIER 01 / VENICE
The vanishing descent
An investigator returns from a procedure with worsening breathlessness, distended neck veins and hypotension. Somewhere in these pressures, a descent has disappeared.
Waveform evidence
Investigate ECG II
Track the spacing of the QRS complexes and their width. Can you find organized P waves?
Investigate ART
Inspect the pulse pressure and contour. Relate systemic pressure to the displayed forward output.
Investigate RA
Look for a and v waves, then follow the x and y descents. Compare right-sided filling pressure with wedge.
Investigate RV
Inspect systolic pressure and the early diastolic contour. Compare the RV peak with the PA peak.
Investigate PA
Compare PA systolic and diastolic pressures with RV and wedge. Look for the valve-closure notch.
Investigate PAWP
Inspect the atrial contour and systolic v wave. Relate wedge pressure to the clinical clues.
Detective’s notebook 0/12 pinned
Your evidence board is empty. Pin an interesting point from a trace above.
Clues−10 points each
Open a clue when you need more context.
YOUR DEDUCTION
Identify the diagnosis
INTERVENTION
Choose an intervention
Confirm both suspects to unlock the kit.