This case involves an elderly man in Iowa who had been receiving dialysis treatments multiple times a week. A few days before the incident in question, he presented to the dialysis clinic and informed his nurse of symptoms that appeared to be indicative of a pseudoaneurysm before beginning his treatment. In response, the nurse made an appointment for the man to see a doctor regarding the symptoms, but at no point considered this an emergency and failed to direct him to the emergency room for immediate evaluation and care. A few days later the aneurysm burst, and the man bled to death in his home. It is alleged that the patient should have been sent to the emergency room immediately by the dialysis nurse.