Chief Quality Officer & Director of Clinical Care Boston MedFlight Mansfield, Massachusetts, United States
It would seem to be enough of a challenge simply to manage diseases in the body's biggest artery,, where patients can die at a rate of one percent per hour, and where that deterioration can be almost instantaneous. Clinicians complicate these cases by not understanding the anatomy, physiology, and language that are important to good management, then patients complicate them by requiring completely opposite therapies in different circumstances. This talk will clarify this confusing mass of information to help you understand what is happening, what to do, and when to do it for patients with "aortic disease" everywhere on the spectrum from stable to pear-arrest.
Learning Objectives:
compare and contrast the anatomy (thoracic v. abdominal) and physiologic (dissection v. aneurysmal) differences in aortic disease.
construct a four-item differential diagnosis for HYPOtension in a patient with aortic dissection.
state a general rubric for clinical management of a hemodynamically stable patient with aortic dissection.