Blunt cerebrovascular injuries can often be subtle and difficult to diagnose. They are associated with significant morbidity and mortality and therefore early recognition and treatment of these injuries is vital. Join Dr King as he discusses the nuances of blunt cerebrovascular injuries including how to properly manage them.
Extrapulmonary tuberculosis (EPTB), a difficult emergency diagnosis is nonetheless important to consider in subacute and chronic fever and has overlap with its pulmonary form. Join Dr. Schneider as he takes a deep dive into what you need to know when suspecting EPTB.
Traumatic shoulder injuries are a frequent challenge in the emergency department, often affecting active, otherwise healthy patients. Because the shoulder’s intricate anatomy is vulnerable to a wide range of injuries—from fractures and dislocations to soft‑tissue and neurovascular compromise—timely recognition is essential to prevent long‑term dysfunction. In this installment, Dr. Sindelar outlines the key presentations, diagnostic considerations, and management strategies for acute shoulder trauma.
It’s the time of year where people go outside and… get cold. Sometimes much much too cold. Join Dr. Geels for a bottom-up review of hypothermia, both its recognition and management in the ED setting.
Ground-level falls are a leading reason older adults get head CTs in the ER, largely because current rules treat age > 65 as a risk factor by itself. Yet many emergency physicians question whether that’s always necessary for well-appearing patients. A new systematic review and meta-analysis in Annals of Emergency Medicine digs deeper, asking: what other factors truly predict intracranial hemorrhage after ground-level falls? Join Dr. Snyder as she explores the findings, limitations, and what they mean for everyday practice.
Ectopic pregnancy represents one of the most urgent gynecologic emergencies encountered in the ED. Though relatively uncommon, the consequences can be life‑threatening if not recognized quickly. Because symptoms often mimic other causes of acute pelvic pain, clinicians must maintain a high index of suspicion to avoid delays in diagnosis. Prompt management is essential to reduce morbidity and preserve future fertility. In this second installment of ovarian emergencies, Dr. Bannister reviews the critical features of ectopic pregnancy, its diagnostic challenges, and the strategies for timely intervention.
Dr. Tillotson takes us on a quick tour of the classic layered ultrasound appearance of lipohemarthrosis — the bedside clue that an occult fracture is hiding in plain sight.
Ovarian emergencies are uncommon in the ED, but when they occur the consequences can be serious. Conditions like cyst rupture, torsion, and tubo‑ovarian abscess demand rapid recognition and timely management to prevent morbidity and preserve fertility. Because presentations are often variable, clinicians must keep a high index of suspicion when evaluating acute pelvic pain. Join Dr. Bannister as he discusses these critical ovarian emergencies and their management. Ectopic pregnancy will be explored in a dedicated post to highlight its unique urgency.
Tranexamic acid (TXA) is an anti-fibrinolytic that may reduce hemorrhage and improve survival in trauma. While early studies raised safety concerns, newer evidence supports its use in select patients. Join Dr. Segev as he reviews key TXA trials and highlights the updated EAST guidelines on pre-hospital and in-hospital administration.

Survival after out‑of‑hospital cardiac arrest hinges often on getting an AED to the patient within minutes - but in most communities (especially more rural areas), that simply doesn’t happen fast enough. First responders often arrive too late, and bystanders rarely have immediate access to a device. This study explores whether pairing first responders with strategically deployed AED‑carrying drones could finally make 5‑minute defibrillation a reality. Join Dr. Boyer as he breaks down what this model suggests about the future of rapid OHCA response.