For an excellent detailed checklist on treating aortic dissection, see Pressordex: Critical Care Medication Guide, 5th Edition, 2024, pp. 14 +15.
In addition to today’s resource, please review Linking To And Excerpting From “Computed Tomography Imaging in Aortic Dissection”
Posted on February 20, 2025 by Tom Wade MD
In addition to today’s resource, please see and review Linking To MetroHealth Emergency Ultrasound’s Video On Aortic Dissection: “POCUS for the Win: Cracking the Mysterious Case of Chest Pain”
Posted on February 17, 2025 by Tom Wade MD. The following slides are from the above resource. Big Point: If you are concerned about possible aortic dissection, you must get a CTA gated. A CT PE will not diagnose aortic dissection
All that follows is from CriticalCareNow’s The Crashing Aortic Dissection Patient.
Feb 19, 2024 ResusX:PodcastIn this riveting lecture from the ResusX: Reset Conference (see link below for more lectures), Dr. George Willis delves into the critical realm of aortic dissection, a diagnosis that keeps emergency care providers up at night. Dr. Willis vividly illustrates a case of a 62-year-old male presenting with chest and abdominal pain, emphasizing the importance of considering aortic dissection in such patients. He expertly navigates through the complexities of managing this condition, discussing the nuances of medications like esmolol and nicardipine, as well as the crucial role of ultrasound in diagnosis and intervention. Dr. Willis highlights the significance of resuscitating before intubating, cautioning against hasty interventions that could exacerbate cardiac compromise. He underscores the necessity of controlled pericardial drainage, providing insightful guidance on optimizing patient outcomes. Through compelling anecdotes and evidence-based insights, Dr. Willis delivers invaluable pearls for emergency care providers, reinforcing the imperative of vigilance and meticulous management in aortic dissection cases.
00:07 Introduction to Aortic Dissection
00:39 Case Study: Aortic Dissection in Emergency Department
01:29 Diagnosing Aortic Dissection: The Role of CT Scan
02:12 Managing Aortic Dissection: Medications and Surgical Intervention
03:06 Understanding the Challenges of Diagnosing Aortic Dissection
05:12 The Importance of Ultrasound in Aortic Dissection Diagnosis
05:27 Understanding Tamponade in Aortic Dissection
10:01 The Role of Pericardiocentesis in Aortic Dissection Management
14:14 Identifying Cardiogenic Shock in Aortic Dissection
17:25 Key Takeaways and Summary of Aortic Dissection Management
18:54 Closing Remarks
To watch more videos from the ResusX: Reset conference, check out https://www.resusx.com/resusx-reset-r…
