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IV access is obtained and blood samples sent for biochemistry and haematology. A CXR shows profuse pulmonary oedema and an ECG shows left bundle branch block.
Which one of the following options is the most appropriate next step in his ED management?
A bedside ultrasound scan of the abdominal aorta is performed. The mid-aortic region is shown in transverse below.
Which one of the following statements best describes the ultrasound scan findings?
The patient proceeds to have a CT aortogram, which is shown below.
Which of the following management strategies is most appropriate?