Episode 64 – Thoracic Aortic Syndromes- An Interview with Dr. Anthony Hackett

Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!

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Episode 64 – Thoracic Aortic Syndromes- An Interview with Dr. Anthony Hackett

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EMplify – December 2021

Announcements:

• The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. ,
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• Check out the newly redesigned FOAMed blog at https://www.ebmedicine.net/ebmblog/

Thoracic Aortic Syndromes in The Emergency Department: Recognition and Management

Interview with author: Anthony Hackett, MD

Thoracic Aortic Syndromes

• Dissection, Intramural Hematoma, and Penetrating Aortic Ulcers
• Pathophysiology
• Intima, media, and adventitia
• Epidemiology and classification 
• Debakey vs Stanford classification- do we still use Debakey ? 
• Risk Factors
• Prehospital Care – what should EMS be looking for? 
• ED Care
• History 
• HTN, Pulse defecits, Chest Pain, Syncope?Table 3
• ADD-RS score
• Exam
• Diagnostics
• Labs
• EKG – STEMI? 
• Imaging
• CXR
• Echo 
• CT
• MRI
• Aortogram
• Treatment
• BP management
• Heart Rate
• Shock
• Surgery – Who goes and when? 
• Special populations
• Pregnancy
• Controversies
• D-Dimer

Last Updated on January 25, 2023