Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals Aortic Dissection: From Acute Dissection to Life-long Care
Sep 2, 2021
Scott Cameron, vascular medicine physician and cardiologist focused on aortic disease management. Melin Desai, medical director of an Aortic Center who coordinates acute and longitudinal care. They discuss rapid triage and cloud image sharing, pre-review workflows that speed preparation, blood pressure monitoring after discharge, endovascular and surgical timing strategies, genetics and lifelong telehealth follow-up.
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Mobilize Aortic Team Before Patient Arrival
- Activate a coordinated aortic team immediately when a referral calls to streamline transfer and care.
- Use an emergency phone line, mobilize air/ground transport, and pre-review cloud-transferred images so the OR and ICU are ready on arrival.
EMR Alerts Unite Multiple Teams Quickly
- Integrate EMR alerts and pre-review imaging to make multi-specialty assessment seamless for incoming aortic emergencies.
- Epic chat notifies cardiac surgery, cardiology, and vascular teams so everyone can meet at bedside prepared.
Give Patients Tools And Early Follow Up To Prevent Readmission
- Provide discharged aortic patients with home BP cuffs, an algorithm, and early vascular medicine follow-up to avoid readmissions.
- Make medication adjustments by phone and pre-schedule follow-up to reduce unnecessary transfers back to the center.