12:00 PM - 1:00 PM Central time
A patient who presents with a possible rAAA is therefore a time-sensitive emergency, and prompt recognition of this rare condition can clearly save lives. Rapid bedside ultrasound can also screen for this condition. The US Preventive Services Task Force recommends screening of all men over the age of 65 who have ever smoked and selectively in women and men who have never smoked. However, such screening occurs in only 4-26% of appropriate individuals, with disparity in individuals of color and lower socioeconomic conditions – the very population often treated in emergency department. Finding an aneurysm early allows for proper monitoring of its size and elective surgical stent placement (with a very low mortality/morbidity) once the size reaches the established threshold.
Rapidly identifying patients with rAAA increases their chance of survival. While CT scanning can also identify rAAA or the presence of an aneurysm, it is more costly, more time consuming and exposes the individual to significant radiation.
ACEP worked with the Gordon and Betty Moore Foundation to develop a quality measure for the rare rAAA diagnosis that will be ready for implementation on ACEP’s national registry. The measure will not only help with the rapid identification of rAAA cases, increasing their chances of survival, but also provide a screening tool for AAA cases.