I caught up with Dr. Anand Swaminathan, otherwise known as EM Swami, at The Teaching Course in NYC where he told his Best Case Ever from Janus General of his heroic and collaborative attempts at saving the life of a gentleman who presented to the ED with a classic story for a ruptured AAA. How would you manage a patient with a ruptured AAA who arrests right in front of you in theED? CPR? No way. There are no ACLS algorithms that will help you with this one. Swami thinks outside the box, takes action and accepts the consequences. As William Olser famously said, “There is no disease more conducive to clinical humility than aneurysm of the aorta.”