id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-11153	McLatchie, Rachel; Wilson, Sarah; Reed, Matthew; Ticehurst, Francoise; Easterford, Kathryn; Alawiye, Salma; Cowan, Alicia; Gupta, Aakash	Why do emergency department clinicians miss acute aortic syndrome? A case series and descriptive analysis	2023	6	.pdf	application/pdf	4828	252	55	Reasons for missed AAS diagnosis in the ED (more than one reason for some cases). Reason(s) determined for missed diagnosis Number of cases No evidence of consideration of AAS in differential diagnosis 31 Satisfied by alternative presumed diagnosis 19 Satisfied by exclusion of ACS 6 Diagnosis of AAS considered but not pursued as reassured by absence of radial-radial delay or BP differential 5 Diagnosis of AAS considered but not pursued as reassured by normal CXR 3 Diagnosis of AAS considered but not pursued due to atypical symptoms 1 Diagnosis of AAS considered but not pursued as reassured that pain had settled 1 Diagnosis of AAS suspected but CT misreported as being normal 1 Did not recognise widened mediastinum on CXR 1 Unknown (limited notes available) 2 [Emergency Care Journal 2023; 19:11153] In our review of missed AAS diagnosis in three UK EDs, we found that in approx- imately three quarters of cases, AAS did not seem to have been considered in the differential diagnosis.	cache/ecj-11153.pdf	txt/ecj-11153.txt