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Type A Aortic Dissection with Hemopericardium

This patient presents with chest pain. Which is the best next
Type A Aortic Dissection ... presents with chest ... Hemopericardium #Aorta ... #PLAX #Echocardiogram ... #POCUS #Clinical
Resuscitative Thoracotomy
NOTE: this video is NOT standard technique.
Aka "cracking the chest". A potentially life saving technique
10% depending on clinical ... tamponade -cardiac ... massage -descending aorta ... for cross-clamp aorta ... with signs of life