Boerhaave’s syndrome is a rupture of the esophageal (swallowing tube) wall that occurs due to vomiting. Symptoms include: retching and vomiting, severe chest and upper abdominal pain, painful swallowing (odynophagia), rapid breathing (tachypnea), awareness of breathing (dyspnea), blue tinted skin or mucus (cyanosis), fever, and shock. Diagnosis of Boerhaave’s syndrome includes radiography and a confirming chest CT scan. Intervention must happen quickly. Treatment includes antibiotics and surgical repair of the esophageal wall; if there has been significant fluid loss, the patient should be given an IV. Even with surgical intervention, the mortality rate is roughly 25%.