AAAs are Always Scary! (for me). It's one of the hardest diagnosis to make, usually it's diagnosed incidentally, and once it's ruptured - the prognosis is extremely poor and highly fatal. Some people look really good, are misdiagnosed with musculoskeletal back pain, and discharged home. Abdominal Aortic Aneurysm (AAA) is a true emergency. You don't have much to go on. Especially at triage or when they first come into your resus bay and you're initially thinking this patient has a different diagnosis or rule out. This is one of the rare incidences when I will say it's okay to go with your "gut feeling" - but try to back it up with clinical presentation. See more show notes at resusnurse.com