Diagnosis of Acute Aortic Syndrome in the ED: An observational cohort study of people attending the ED with symptoms consistent of Acute Aortic syndrome (AAS)

Joined July 2022
High-sensitivity troponin has transformed MI detection, but front-door loading and unselective testing risk overdiagnosis & missed pathology. Our @EJ_EmergencyMed viewpoint article out today argues for reclaiming clinical reasoning in ED chest pain care journals.lww.com/euro-emerge…
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Delighted our ASES study summary ‘Diagnostic strategies for suspected acute aortic syndrome; systematic review, meta-analysis, decision-analytic modelling & value of information analysis’ has been published in the @NIHRresearch HTA journal; download here: journalslibrary.nihr.ac.uk/h…
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I suggested a strategy based on D-Dimer & ADD-RS/Canadian will probably reduce the number of CTAs, be cost-effective & not lead to increased missed AAS but that a properly designed & funded implementation study is now required to provide clinicians with a safe effective strategy
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What is the evidence around diagnosing Acute Aortic Dissection in the ED? At @EuropSocEM #eusem2024 I summarised the results of DAShED, ASES & PROFUNDUS. Here is a copy of my presentation; bit.ly/4f6Rr0l
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Summary on aortic disection diagnostic by @HannahSchaubro1 #ESCGuidelines @escardio #ESCCongress 2024 #cvAcute
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A great summary of the NIHR funded ASES study from Professor Steve Goodacre with insight from Valerie Lechene, an aortic dissection survivor who participated in the research
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Professor Matt Reed talks through the DASHED 2 trial
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#ResearchLetter #March2024 Survey of current policy regarding the recognition and management of acute aortic syndrome in Great Britain emj.bmj.com/content/41/3/151 @AorticDissectCT @mattreed73 @RCollEM @emerge_research
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#OriginalResearch #March2024 Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the ED with symptoms consistent with acute aortic syndrome emj.bmj.com/content/41/3/136 @mattreed73 @emerge_research
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Time for an ED standard diagnostic pathway for detection of AAS? See our FOI paper in collaboration with @AorticDissectCT published yesterday in @EmergencyMedBMJ emj.bmj.com/content/early/20…
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With an excellent accompanying correspondence about this and @dashedstudy by Peter Jones; emj.bmj.com/content/early/20…
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December ‘23 Papers Podcast •Identifying Acute Aortic Syndrome in an undifferentiated population •Stroke thrombectomy for acute large infarcts •Small vs large BVMs in cardiac arrest itunes.apple.com/gb/podcast/… open.spotify.com/show/4pGoo1… TheResusRoom.co.uk #FOAMed
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A really great review of our @dashedstudy study from @TheResusRoom - thanks for picking this up and summarising so well
December ‘23 Papers Podcast •Identifying Acute Aortic Syndrome in an undifferentiated population •Stroke thrombectomy for acute large infarcts •Small vs large BVMs in cardiac arrest itunes.apple.com/gb/podcast/… open.spotify.com/show/4pGoo1… TheResusRoom.co.uk #FOAMed
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Missed our @EuropSocEM acute aortic dissection webinar? Sharpen your diagnostic & management expertise in these critical emergencies with this #AortaEd session summary, inc links to the on-demand webinar via #EUSEM Academy. Hosts @gregorprosen @mattreed73 bit.ly/EM-Monthly
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#rcemasc @mattreed73 @julesgrahamslaw @emerge_research run at 0745 bbc bridge conference side 5k ish instead of 7 am brutal start
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- AAS considered possibility in 24% patients - only 40% of these underwent CTA - 10% patients total had any CT - 3% of CTs performed positive for AAS = 14 patients - 5 type A, 3 type B dissection, 6 intramural haematoma/penetrating ulcer @ratchmclatch #RCEMasc
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