The EMRA offices will be closed for the upcoming holidays from Wednesday, December 24, 2025 until Monday, January 5, 2026.
We apologize for the inconvenience.

LT Michael Shulby, DO, MC, USN

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Department of Emergency Medicine 

Naval Medical Center Portsmouth 

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Acute aortic dissection may present atypically, often without the classic "tearing" chest or back pain. Instead, patients may present with syncope, neurologic deficits, pulse deficits, referred pain,
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