Summary:

In this TSN5 episode, Dr. Kenny Chang breaks down a practical, high-yield approach to recognizing aortic dissection in the ED. He walks through key bedside clues — sudden severe pain, pulse or perfusion deficits, and neurologic red flags — while emphasizing why this diagnosis can masquerade as ACS. Most importantly, he explains why pausing before anticoagulation or cath lab activation can be the decision that saves a life.