EMplify - December 2021Announcements:* 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. ,* This month get a $50 Amazon Gift Card with all orders over $300 at https://www.ebmedicine.net* Check out the newly redesigned FOAMed blog at https://www.ebmedicine.net/ebmblog/Thoracic Aortic Syndromes in The Emergency Department: Recognition and Management (https://www.ebmedicine.net/topics/cardiovascular/aortic-syndromes)Interview with author: Anthony Hackett, MDThoracic Aortic Syndromes* Dissection, Intramural Hematoma, and Penetrating Aortic Ulcers* PathophysiologyIntima, 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 CareHistory HTN, Pulse defecits, Chest Pain, Syncope?Table 3ADD-RS scoreExamDiagnosticsLabsEKG - STEMI? ImagingCXREcho CTMRIAortogramTreatmentBP managementHeart RateShock* Surgery - Who goes and when? * Special populationsPregnancy* ControversiesD-Dimer