Abstract
Cardiac arrest is a challenging clinical presentation that emergency medicine providers
often encounter. Aortic dissection is an uncommon etiology in all-comers presenting
in cardiac arrest. The use of bedside point of care echocardiography to aid in resuscitative
efforts is expanding, particularly with the increasing use of transesophageal echocardiography
(TEE) by emergency medicine providers. Additionally, emergency department initiation
of extracorporeal membrane oxygenation (ECMO) is a relatively newer development in
emergency department practice. We report the case of a 64-year old male presenting
to the emergency department in cardiac arrest with TEE identification of aortic dissection
as the etiology resulting in discontinuation of ECMO initiation attempts.
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Article Info
Publication History
Published online: February 26, 2019
Accepted:
February 25,
2019
Received in revised form:
February 24,
2019
Received:
February 22,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.