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. ,
• 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

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