Case of the Month: January 2026

Swami and Jan kick off 2026 with a deep dive into a classic emergency medicine challenge: evaluating a patient with sudden chest pain and deciding whether aortic dissection is truly on the table. From clinical gestalt to the nuances of the Aortic Dissection Detection Risk Score, they walk through the real-time decision making, pitfalls, and practical considerations that shape this high-stakes diagnosis. Along the way, they unpack imaging choices, the role of D-dimer, when to act fast, and how to keep your threshold sharp without over-testing. It’s a thoughtful, case-based look at risk, uncertainty, and what it takes to get it right in the ED. ✔ Subscribe today: https://www.emrap.org/subscribe ✔ Newsletter sign up: https://www.emrap.org/newsletter ✔ Donate to our non-profit, EM:RAP Global Outreach: https://www.emrapgo.org/ EM:RAP on Social Media: ► Follow on Twitter:   / emrap_tweets   ► Like on Facebook:   / emergencymedicine   ► Follow on Instagram: https://www.instagram.com/emrapshow/?... ► Subscribe on YouTube:    / emrapmedical   Visit https://www.emrap.org/ for all your Emergency Medicine education! #emrap #emergencymedicine #urgentcare #meded