Selecting high-specificity emergency triage screening tools to identify high-risk populations for acute aortic dissection can improve diagnostic accuracy in emergency department, and shorten diagnosis and treatment time. This review summarizes the existing emergency triage screening and predictive tools for acute aortic dissection, including the American Aortic Dissection Detection-Risk Score, the Clinical Decision Rule for Acute Aortic Syndrome, and the Aortic Dissection Risk Score, etc., and the fundamental characteristics, the application status, strengths and limitations of each tool are analyzed, with the aim of providing a reference for the development of a highly specific emergency triage screening tool for acute aortic dissection tailored to the Chinese healthcare context.