In summary, aortic dissection is a rare cause of out-of-hospital cardiac arrest.
The patient initially reported sudden onset of chest pain described as "a brick on my chest" and collapsed a few minutes later. Upon arrival of emergency medical services, he was found to be in ventricular fibrillation.
A 200 J asynchronous shock was delivered, after which he developed pulseless electrical activity.
A recent algorithm for the management of the resuscitated comatose patient was developed and published last year.
Both type A and type B aortic dissections can present infrequently as cardiac arrest.