Rucker LG, et al. – In this study, findings after implementation of an acute cardiovascular emergency protocol (ACEP) for diagnoses of aortic dissection (AD), ruptured aneurysm (RA), and acute limb ischemia (ALI) were described. ACEP implementation resulted in a streamlined care of patients with AD and RA after arrival to the institution but did not speed transfer, alter mortality, or increase volumes over time. Authors suggested control of transportation mechanisms as an opportunity to speed transfer time.