• Am J Emerg Med · Jun 2019

    Case Reports

    Transesophageal echocardiography identification of aortic dissection during cardiac arrest and cessation of ECMO initiation.

    • Christopher Kelly, Patrick Ockerse, Jason P Glotzbach, Rocky Jedick, Mark Carlberg, John Skaggs, and David E Morgan.
    • University of Utah, Department of Surgery, Division of Emergency Medicine, United States of America. Electronic address: Christopher.Kelly@hsc.utah.edu.
    • Am J Emerg Med. 2019 Jun 1; 37 (6): 1214.e51214.e61214.e5-1214.e6.

    AbstractCardiac 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.Copyright © 2019 Elsevier Inc. All rights reserved.

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