Remember John Ritter? He died from an aortic dissection that was untimely diagnosed. A recent study of 33 non traumatice aortic dissections concluded that medical care was subopitimal in 66% of these cases. A perusal of the article demonstrated that most of the cases involved missed diagnosis or delay in diagnosis. Emergency physicians must maintain a high index of suspicion for dissection. If you've lost a loved one from a missed aortic dissection, call us and talk about it.