If the bubble bursts.... EMS response to aortic aneurysms & dissections.
An aortic disease patient is typically an older male with a history of atherosclerosis and hypertension. He might have Marfanoid characteristics, a history of cocaine or methamphetamine abuse or history of syphilis. Alternatively, suspect dissection in a pregnant female with complaints consistent with possible aortic problems. During your assessment, zero in on the patient's anatomy. Include aortic phenomena in your differential for chest and back pain. Take blood pressures in both arms. Search the abdomen for pulsatile masses, and be wary of hoarseness and Horner's syndrome.
Anzalone
Brendan
B
Wake County EMS, Raleigh, N.C., USA.
Crow
William Thomas
WT
Costalas
Steven K
SK
D001014:Aortic Aneurysm / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001019:Aortic Rupture / Q000628:therapy; D004496:Education, Continuing; D004634:Emergency Medical Technicians / Q000193:education*; D004638:Emergency Treatment / Q000379:methods*; D006801:Humans; D012307:Risk Factors; D014481:United States