Your patient has acute pulmonary edema but no history of heart failure, has a normal ejection fraction on your echo, and is not responding to your usual interventions. Should we let the intensivist and cardiologist figure it out the next day? No! Critical aortic stenosis has a high mortality rate and is often missed in the Emergency Department. Learn how to diagnose this valvulopathy on your bedside echo and how to manage these critically ill patients. Identify and stabilize these patients early, then call your cardiothoracic surgeon. This session was recorded on Monday, April 24, 2023 at the 29th Annual Scientific Assembly (AAEM23) in New Orleans, LA.