Thoracic aortic aneurysm and thoracic aortic dissection are related conditions that can present with non-specific symptoms and are associated with high morbidity and mortality therefore timely diagnosis is pivotal. Trans-thoracic echocardiography may detect thoracic aortic pathology and is increasingly performed by emergency physicians at the bedside. Point-of-Care Ultrasound can help to differentiate the causes of shock, chest pain and dyspnea.
We describe the case of a pulseless electrical activity arrest in cardiac tamponade resulting from an aortic dissection in which PoCUS assisted in diagnosis and treatment by pericardiocentesis in the emergency department.
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