Attending Version: Back Pain Emergencies Module; created by Dr. Wendy Gerstein


Your next steps in management should be



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Your next steps in management should be:
A) Emergent vascular surgery consult for emergent surgery to repair this type A aortic dissection, keep sbp <140, ICU bed.
B) Emergent vascular surgery consult for advice on medical management of this type B aortic dissection, ICU bed, aim for SBP between 100-120 using iv beta blockers.
C) Intubate patient, emergent TEE, vascular surgery consult for stent placement, return SBP to baseline values (150s).
D) Emergent vascular surgery consult, aortography to better define location of intimal tear, start nitroprusside to keep SBP between 100-120.



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