44. Aortic Emergencies

  1. Jesse M. Pines1,2,
  2. Christopher R. Carpenter3,4,
  3. Ali S. Raja5 and
  4. Jeremiah D. Schuur5

Published Online: 8 NOV 2012

DOI: 10.1002/9781118482117.ch44

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

How to Cite

Pines, J. M., Carpenter, C. R., Raja, A. S. and Schuur, J. D. (2012) Aortic Emergencies, in Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118482117.ch44

Author Information

  1. 1

    Center for Healthcare Quality, George Washington University, Washington, DC, USA

  2. 2

    Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  3. 3

    Evidence Based Medicine, Washington University, St. Louis, MO, USA

  4. 4

    Division of Emergency Medicine, Barnes Jewish Hospital, Washington University, St. Louis, MO, USA

  5. 5

    Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Publication History

  1. Published Online: 8 NOV 2012
  2. Published Print: 7 NOV 2012

ISBN Information

Print ISBN: 9780470657836

Online ISBN: 9781118482117

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Keywords:

  • aortic emergencies, rupture of AAA in acute/flank pain;
  • physical examination, insufficiently sensitive in ruling out thoracic aortic/AAA;
  • chest X-ray, not sufficient in ruling out presence of aortic dissection;
  • thoracic aortic dissection and AAA, two aortic emergencies in ED;
  • CT angiography as criterion standard, risk of radiation-induced malignancy;
  • plain chest radiography and D-dimer, risk-stratification tools in AAA;
  • test characteristics of physicals/radiographic findings for aortic dissection;
  • accuracy of clinical findings for thoracic aortic dissection;
  • specific use of abdominal ultrasound by physicians in AAA;
  • bedside US as screening modality in AAA, physician's armamentarium

Summary

This chapter contains sections titled:

  • Background

  • Clinical question

  • Comment

  • References