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August 21, 2025Canadian Journal of Emergency MedicineOpen Access

Aortic dissection in the ED: a medico-legal perspective on diagnostic delays and failures

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Authors

JFJacqueline H. FortierMMMehrnaz MostafapourRORobert Ohle

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Overview

Quantitative analysis of 3,531 cases highlights diagnostic failures in emergency departments, suggesting systemic improvements.

Key Points

  • Delays in diagnosing aortic dissection contribute significantly to patient mortality, with 36 deaths recorded.
  • Analysis of 3,531 emergency department cases found only 43 related to aortic dissection, indicating rarity but severe implications.
  • Thematic analysis revealed cognitive and systemic issues, including misinterpretation of tests and communication breakdowns.
  • Addressing diagnostic delays through enhanced systems-level supports can improve patient outcomes and reduce harm.

Cite This Study

Fortier et al. (2025) studied this question.

synapsesocial.com/papers/68af6d8a7567bf4f94feac40https://doi.org/10.1007/s43678-025-00999-y
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Analysis of Factors Affecting Mortality in Patients with Acute Aortic Dissection Admitted to the Emergency Department2025
  2. 2Diagnostic Pitfalls in Aortic Dissection: A Case of Misdiagnosed Acute Myocardial Infarction Leading to Emergency Surgical Intervention2025
  3. 3A silent case of aortic dissection: a case report2025
  4. 4Delayed diagnosis of aortic dissection: the overlooked clues on chest X-ray2025 · 1 citations
  5. 5Type‐A Aortic Dissection Evading Aortic Dissection Detection Score in Vulnerable Patient: A Case Report2025