Join us for an in-depth exploration of the complexities surrounding acute aortic dissection, a critical challenge in emergency medicine. This session will comprehensively review the spectrum of symptomatology, including less typical and painless presentations, and evaluate the efficacy of physical examination findings in aiding diagnosis. We will examine the utility of diagnostic tools such as chest X-ray, d-dimer, and CT angiogram. Participants will gain practical insights into applying scoring systems such as ADD-RS and AORTAs. Whether you're a new trainee or a seasoned EM physician, this session will help deepen your understanding of acute aortic dissection and leverage evidence-based practices to diagnose and manage this life-threatening condition.