The Crashing Aortic Dissection Patient

[@Ali-jm5jm]

A great presentation! I especially liked the talking points about managing AD complications. It’s a frightening diagnosis that’s out there to get you! I’ve had a patient with a unilateral lower limb weakness and weak distal pulses who ended up having an AD! He did have HTN and was a smoker.

[@veredwald6776]

Greetings from London,UK. I was misdiagnosed by the general hospital I was taken to with loss of feelings in both legs. They thought I had a trapped nerve and was going to send me home with paracetamol!! It was my wife who insisted they do a CT of my heart. The doctor on duty said it wasn't needed, but agreed do the CT just to keep my wife quiet. Shock, horror when they saw my WHOLE aorta was dissected, including Left subclavian, Brachocephalic Trunk & Proximal SMA. Right Coronary Artery also dissected & both Illiac arteries as well. Was rushed to Barts Hospital, London & had ten hour surgery. There really does seem to be a general ignorance of what the symptoms are for dissections at non specialist heart hospitals. I really think education is the key.

[@romanishchenko6310]

Brilliant!

[@hossammustafa3146]

Nice episode

[@CriticalCareNow]

Thank you

[@framga3759]

Very informative video, thanks for your effort, i'dl love see more video like this, aboveall if with eng subtitles (i'm not eng native speaker). Greetings!

[@CriticalCareNow]

Thanks

[@Samten2012]

✍✍✍✍✍✍ Awesome video! Thank you!

[@CriticalCareNow]

Thanks!

[@mohamedelrazi2880]

wawo ,couldn't be better ❤

[@CriticalCareNow]

Thank you!

[@shelbygramlich7140]

Worst dissection I’ve ever seen was 12/10 testicle pain with syncope

[@CriticalCareNow]

Whoa! That’s quite the presentation. Thanks for sharing

[@farhanqadeer82]

Great talk and discussion. Whats your pressors of choice in aortic disection - Does it differ if you have AR ? because our regular pressors of choice will result in tachycardia. Thanks

[@jonathanchigges7658]

I would postulate dobutamine or milrinone. Norepi would increase afterload, epi would increase HR, I can't see how vasopressin would be beneficial, and neo would fall in line with norepi regarding afterload.

[@robertlee7232]

Blood test for it coming soon

[@msmc-marijasshortmedicineclips]

Great

[@CriticalCareNow]

Thank you for that!

[@chipurBillWhite]

This is what killed John Ritter.

[@panioloprep8126]

Sorry, I came to learn and got completely overwhelmed with two docs talking over the presentation.

[@CriticalCareNow]

Awesome. So happy you enjoyed it