The clinical manifestation of ruptured AAA can include low back pain, flank, abdominal or groin pain, which usually leads to hypovolaemic shock and altered mental status. The mortality of AAA rupture is high, 65–75% of patients die before they arrive at hospital and up to 90% die before they reach the operating room. The use of the ultrasound scan in Emergency Department is becoming increasingly popular in the UK. It is an extended bedside clinical examination, which can reflect on critical management decisions at early stage. It has been shown that Emergency Physicians can accurately perform aortic ultrasound scans with a relatively short training period [2]. Emergency ultrasound is a rapid, safe, non-invasive and repeatable test. It requires no contrast media and no special patient preparation. Additional benefits to clinicians such as surgeons and emergency physicians include continuing professional development and the satisfaction of broadened skills. Radiology Departments may benefit from decreased workload for out of hours in emergency imaging [3].