Case Report

Volume: 2 | Issue: 2 | Published: Jan 01, 1970 | Pages: 83 - 86 | DOI: 10.24911/ejmcr/2/16

Early identification of aortic dissection with pre-hospital ultrasound: a case report.


Authors: Mirko Zanatta , Margherita Scorpiniti , Vito Cianci


Article Info

Authors

Mirko Zanatta

Emergency Department of Arzignano Hospital AULSS8 Berica, Italy

Margherita Scorpiniti

Emergency Department, University of Verona, Italy

Vito Cianci

Emergency Department of Arzignano Hospital, AULSS8 Berica, Italy

Publication History

Received: March 31, 2018

Revised: April 13, 2018

Accepted: April 23, 2018

Published: January 01, 1970


Abstract


Background: Several studies have demonstrated the feasibility of pre-hospital US in patients with trauma, cardiac arrest and respiratory insufficiency. It should be rapid, problem based and the use of specific protocols (FAST, FEEL, RUSH) prevents delays. Case presentation: We present a case of a 50 years old man with a syncope while he was working. When the ambulance arrived, he was hemodynamically unstable, referred dorsal lumbar pain, an asymmetry of the radial pulses was found, and the electrocardiography didn't register any ST segment alterations. A pre-hospital US showed a dilation of the ascendant aorta and a floating flap inside the aortic arch and the abdominal aorta. The CT scan confirmed a dissection from the aortic bulb to the left femoral artery and the patient was transported rapidly to the nearest heart and thoracic surgeries. Conclusion: The evaluation of the aorta should be considered a new indication of pre-hospital ultrasound.

Keywords: Point of care Ultrasound, pre-hospital, abdominal aorta, dissection


Pubmed Style

Mirko Zanatta, Margherita Scorpiniti, Vito Cianci. Early identification of aortic dissection with pre-hospital ultrasound: a case report.. EJMCR. 1970; 01 (January 1970): 83-86. doi:10.24911/ejmcr/2/16

Web Style

Mirko Zanatta, Margherita Scorpiniti, Vito Cianci. Early identification of aortic dissection with pre-hospital ultrasound: a case report.. https://ejmcr.com/articles/1577 [Access: December 25, 2024]. doi:10.24911/ejmcr/2/16

AMA (American Medical Association) Style

Mirko Zanatta, Margherita Scorpiniti, Vito Cianci. Early identification of aortic dissection with pre-hospital ultrasound: a case report.. EJMCR. 1970; 01 (January 1970): 83-86. doi:10.24911/ejmcr/2/16

Vancouver/ICMJE Style

Mirko Zanatta, Margherita Scorpiniti, Vito Cianci. Early identification of aortic dissection with pre-hospital ultrasound: a case report.. EJMCR. (1970), [cited December 25, 2024]; 01 (January 1970): 83-86. doi:10.24911/ejmcr/2/16

Harvard Style

Mirko Zanatta, Margherita Scorpiniti, Vito Cianci (1970) Early identification of aortic dissection with pre-hospital ultrasound: a case report.. EJMCR, 01 (January 1970): 83-86. doi:10.24911/ejmcr/2/16

Chicago Style

Mirko Zanatta, Margherita Scorpiniti, Vito Cianci. "Early identification of aortic dissection with pre-hospital ultrasound: a case report.." 01 (1970), 83-86. doi:10.24911/ejmcr/2/16

MLA (The Modern Language Association) Style

Mirko Zanatta, Margherita Scorpiniti, Vito Cianci. "Early identification of aortic dissection with pre-hospital ultrasound: a case report.." 01.January 1970 (1970), 83-86. Print. doi:10.24911/ejmcr/2/16

APA (American Psychological Association) Style

Mirko Zanatta, Margherita Scorpiniti, Vito Cianci (1970) Early identification of aortic dissection with pre-hospital ultrasound: a case report.. , 01 (January 1970), 83-86. doi:10.24911/ejmcr/2/16