How do I rule out aortic dissection?

Robert Ohle, Sarah McIsaac, Paul Atkinson
2019 CJEM: Canadian Journal of Emergency Medical Care  
A 75-year-old male presents with gradual onset central chest pain radiating to his back. Past medical history is significant for hypertension. Does he need a computed tomography (CT) scan to rule out acute aortic dissection? KEY CLINICAL QUESTIONS From the
doi:10.1017/cem.2018.484 pmid:30686273 fatcat:7k2sspgdkje65fwq64lqqlsinm