Discover and read the best of Twitter Threads about #AorticDissection

Most recents (5)

A summary thread from the great Emergency Medicine Australasia issue I finally read on the plane; @EMAJournal #foamed

Thom study in EMA: patients with unstable cervical #fractures can sit (29%), walk (63%), lack midline tenderness (27%), and have delayed presentation (20%).
@EMAJournal #emergencymedicine

surf injuries were mostly lower c-spine

NEXUS underperformed compared to Canadian C-spine.

#drowning and cervical CTs are not inextricably linked: don't automatically image unless signs of axial loading/very specific concerns
@EMAJournal [my $0.02 on immobilising (virtually) anyone prehospitally: cervical immobilisation is a myth: collars don't actually immobilise, and 'immobilisation' doesn't actually prevent neurological *does* however harm (eg aspiration and other harms)]
Read 31 tweets
Always a pleasure to see my first EM supervisor @mattreed73 on stage, and to talk about such an important topic. @AorticDissectCT #EUSEM2022 #aorticdissection Image
Sobering context to begin the session from Mrs Latham who sadly lost her son after a missed diagnosis several years ago.
She has clearly turned her grief and loss into a hugely positive thing in @AorticDissectCT and shares her story with us today at #EUSEM2022 Image
A testament to the healthcare professionals and trustees invovled in this charity that they are able to recognise the shared burden of missed diagnoses and other failings in the healthcare system, despite their own personal involvements. It isn'teasy to see other sides #EUSEM2022 ImageImage
Read 11 tweets
Today is our 1st #birthday! It’s been an amazing year establishing & growing a #community of #inclusivity in #aorticdissection. Like everyone, the past year has been trying. But we're reflecting on the highlights of what has been achieved so far. Please read on 🧵👇 Image
#Podcasts are easily accessible #FOAMed, especially for teams on the road. We focused on reaching pre-hospital where swift AD diagnosis & management will prevent unnecessary deaths.

👏 @TheCaseReport @GenBroadCAST @SecondarySurvey for championing this!…
Read 16 tweets
Watch here tomorrow for the launch of a new accredited tweetorial on #hypertension management in #AorticDissection! Earn 0.5 CE/CME credits: physicians, nurses, pharmacists! Expert faculty @JerroldLevy. #medtwitter @academiccme @MedTweetorials @ACEPNow @ENAorg @CCPharmacists
1) Welcome to a tweetorial on #hypertension management in #AorticDissection! Accredited for 0.50 CE/CME credits by @academiccme: physicians, nurses, pharmacists! Expert faculty @JerroldLevy. Hello @DocAnitaGupta, @LorraineC_MD, @WarnerMatthewA, @DrManiCTSurgery, @PatrickGoldste4 Image
2) . . . Supported by educational grant funding from Abbott, AstraZeneca, Bayer, Chiesi, NovoNordisk. Follow this thread for credit. And here is a case . . .
Read 27 tweets
1/n Basically, if there is an arch aneurysm and a descending aneurysm, it’s pretty hard to get exposure to fix both. So, if you leave an “elephant trunk” behind, it dangles into the descending aneurysm. On return for DTA repair,

First described by Hans Borst in 1983.
2/n When it’s time to do the descending aorta via left thoracotomy, you can easily clamp the free floating elephant trunk, and stretch it down past the aneurysm. Once the distal anastomosis is sutured in place, the aneurysm is excluded. Simple.

#AortaEd #Aneurysm #dtaa #TAAD
3/n Of course, with this approach, the patient still needs two highly invasive open operations.

Enter #TEVAR, in the early 1990s. First pioneered by Mike Dake, Scott Mitchell, and Craig Miller @StanfordCTSurg in 1992, these home-brewed devices were quickly refined.
Read 6 tweets

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