The Crashing Aortic Dissection Patient

In this riveting lecture from the ResusX: Reset Conference (see link below for more lectures), Dr. George Willis delves into the critical realm of aortic dissection, a diagnosis that keeps emergency care providers up at night.
Dr. Willis vividly illustrates a case of a 62-year-old male presenting with chest and abdominal pain, emphasizing the importance of considering aortic dissection in such patients. He expertly navigates through the complexities of managing this condition, discussing the nuances of medications like esmolol and nicardipine, as well as the crucial role of ultrasound in diagnosis and intervention.
Dr. Willis highlights the significance of resuscitating before intubating, cautioning against hasty interventions that could exacerbate cardiac compromise. He underscores the necessity of controlled pericardial drainage, providing insightful guidance on optimizing patient outcomes.
Through compelling anecdotes and evidence-based insights, Dr. Willis delivers invaluable pearls for emergency care providers, reinforcing the imperative of vigilance and meticulous management in aortic dissection cases.
00:07 Introduction to Aortic Dissection
00:39 Case Study: Aortic Dissection in Emergency Department
01:29 Diagnosing Aortic Dissection: The Role of CT Scan
02:12 Managing Aortic Dissection: Medications and Surgical Intervention
03:06 Understanding the Challenges of Diagnosing Aortic Dissection
05:12 The Importance of Ultrasound in Aortic Dissection Diagnosis
05:27 Understanding Tamponade in Aortic Dissection
10:01 The Role of Pericardiocentesis in Aortic Dissection Management
14:14 Identifying Cardiogenic Shock in Aortic Dissection
17:25 Key Takeaways and Summary of Aortic Dissection Management
18:54 Closing Remarks
To watch more videos from the ResusX: Reset conference, check out www.resusx.com/resusx-reset-r...
Hashtags:
#AorticDissection, #EmergencyMedicine, #CriticalCare, #ResusX, #ChestPain, #AbdominalPain, #BackPain, #Tamponade, #Ultrasound, #CardiogenicShock, #Pericardiocentesis, #ResuscitateBeforeIntubate, #Hypotension, #BloodPressureControl

[@romanishchenko6310]

Brilliant!

[@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.

[@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.

[@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

[@shelbygramlich7140]

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

[@CriticalCareNow]

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

[@Samten2012]

✍✍✍✍✍✍ Awesome video! Thank you!

[@CriticalCareNow]

Thanks!

[@hossammustafa3146]

Nice episode

[@CriticalCareNow]

Thank you

[@mohamedelrazi2880]

wawo ,couldn't be better ❤

[@CriticalCareNow]

Thank you!

[@msmc-marijasshortmedicineclips]

Great

[@CriticalCareNow]

Thank you for that!

[@panioloprep8126]

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

[@CriticalCareNow]

Awesome. So happy you enjoyed it