Aortic Dissection

Type A / B — control BP, urgent CT

First 30 seconds

  1. 1ABCDE + 2× large-bore IV
  2. 2Cross-match 6 units
  3. 3Analgesia (morphine)
  4. 4Target SBP 100–120, HR <60

Tear in aortic intima → false lumen. Type A involves ascending aorta.

A

Airway

  • • Patent? Talking? Stridor?
  • • Suction, jaw-thrust, adjuncts, definitive airway if needed
B

Breathing

  • • RR, SpO₂, auscultate, percuss
  • • O₂ to target sats, NIV / intubate as required
C

Circulation

  • • HR, BP, cap refill, JVP
  • • 2× large-bore IV, bloods, monitor, ECG
D

Disability

  • • AVPU/GCS, pupils, glucose, temp
E

Exposure

  • • Full exposure, skin, rash, bleeding, lines, infection source
View flowchart algorithm

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Clinical Decisions in Seconds