Taming the zebra: Unravelling the barriers to diagnosing aortic dissection
- 23 September 2017
- journal article
- research article
- Published by Wiley in Emergency Medicine Australasia
- Vol. 30 (1), 119-121
- https://doi.org/10.1111/1742-6723.12871
Abstract
Aortic dissection is a lethal cardiovascular emergency that continues to pose a diagnostic dilemma to the emergency physician. The condition is rare, can present atypically and is associated with a cumulative mortality for every hour that passes. While it is a recognised differential of acute chest pain, its prevalence in comparison to other causes often leads to the diagnosis being overlooked. The ED is a busy environment with high patient turnover and varying degrees of complexity and acuity. This increases susceptibility to cognitive bias and error‐producing conditions that can lead to delayed or missed diagnosis. In reported cases where aortic dissection has been missed, clinician awareness of the disease was not the primary issue but failure to respond to clinical cues suggestive of aortic dissection was. To improve patient outcomes for this condition, it is important for clinicians to be aware of pertinent cognitive bias and error‐producing conditions.Keywords
This publication has 7 references indexed in Scilit:
- Diagnosis of Aortic Dissection in Emergency Department Patients is RareWestern Journal of Emergency Medicine, 2015
- Collaboration between the coroner and emergency physicians: efforts to improve outcomes from aortic dissectionThe Medical Journal of Australia, 2014
- ED cognition: any decision by anyone at any timeCJEM, 2014
- Profiles in Patient Safety: A “Perfect Storm” in the Emergency DepartmentAcademic Emergency Medicine, 2007
- Acute Aortic Dissection: Population-Based Incidence Compared With Degenerative Aortic Aneurysm RuptureMayo Clinic Proceedings, 2004
- The International Registry of Acute Aortic Dissection (IRAD)JAMA, 2000
- NATURAL HISTORY, PATHOGENESIS, AND ETIOLOGY OF THORACIC AORTIC ANEURYSMS AND DISSECTIONSCardiology Clinics, 1999