Patient with stage four mesothelioma lung cancer that is being cared for in the home environment. Designed to challenge the year 4 student with doing an assessment and critically thinking next steps when caring for a patient who becomes hemodynamically unstable. Communication is paramount, with physician, EMS, and family. The patient is sent to the hospital and arrives obtunded. He goes into cardiac arrest, resuscitation is attempted but unsuccessful. The year 4 students are faced with a grieving family and preparing the body after death.