Is it Thoracic Aortic Dissection?

The Case A 58 yo patient presents to the emergency department with central crushing chest pain that came on abruptly and moved through to his back. The pain was rated as being 8/10. There was no shortness of breath, no diaphoresis and no vomiting. The patient has not had chest pain previously, but does take…

Read More

Thoracic Aortic Dissection: 5 things to make the diagnosis

CASE A 70 year old man, is brought to the Emergency Department by ambulance. He was drinking a coffee with friends and developed sudden severe chest pain. His past medical history is coronary artery disease and hypertension. He became hypotensive in the ambulance and was in some distress. He has had a bolus of fluid…

Read More