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