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

EMplify – December 2021

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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 May 2, 2022

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