
🚩 Recognize Red Flags
- Known diagnosis of VEDS, Marfan, or Loeys-Dietz Syndrome
- Family history of sudden cardiac death or aortic rupture
- Sudden, severe chest, back, or abdominal pain (especially described as "tearing" or "ripping")
- Hypotension, unequal pulses, or new neurologic symptoms
- Physical signs: thin/translucent skin, visible veins, joint hypermobility, unusual bruising
🧠 Suspect Aortic Dissection When:
- Patient is under 40 with no trauma but has tearing pain
- Symptoms mimic stroke, GI bleed, or anxiety
- Normal or low blood pressure despite severe distress
- Patient mentions prior vascular surgery, aneurysm, or genetic condition
🚑 Immediate Action Steps
1. Notify the hospital: “Possible Aortic Emergency”
2. Request rapid transport and prioritize CTA with contrast
3. Minimize scene time – stabilize en route if safe
4. Monitor vitals, provide O2, and manage pain per protocol
📣 Advocate at the Hospital
- Emphasize: Young patient + tearing pain + connective tissue disorder = time-sensitive emergency
- Push for vascular consultation and imaging without delay
- Repeat history and visible red flags to triage and staff
📘 Quick Resources
- The VEDS Movement: https://thevedsmovement.org
- Marfan Foundation: https://marfan.org
- Loeys-Dietz Syndrome Foundation: https://loeysdietz.org
- Chalkbird Inc. Training Materials: https://chalkbirdinc.org