In this episode, we take a focused look at aortic aneurysms and aortic dissections, two life-threatening vascular emergencies that demand rapid recognition and intervention. We’ll distinguish between true aneurysms—including fusiform and saccular types—and false aneurysms or dissections resulting from arterial wall tears. Key risk factors such as atherosclerosis, hypertension, and lifestyle influences are examined, along with the differing clinical presentations of thoracic and abdominal aneurysms. Diagnostic tools and treatment options are reviewed, including open surgical repair and endovascular stent-grafting, while weighing procedural risks against the high mortality associated with rupture. Throughout the episode, we emphasize critical nursing priorities, including maintaining hemodynamic stability, performing thorough neurovascular assessments, and providing patient education for long-term risk reduction. This episode equips nurses with the knowledge to recognize, stabilize, and support patients experiencing complex vascular disorders.