The EMRA offices will be closed for the upcoming holidays from Wednesday, December 24, 2025 until Monday, January 5, 2026. We apologize for the inconvenience.
When The Room Is Spinning: Can't-Miss Diagnoses in the Dizzy Patient
A 34-year-old previously healthy female presents with abrupt onset right-sided headache, vertigo, and vomiting associated with di
Management of Post-tPA Intracerebral Hemorrhage
On your next shift, you find yourself evaluating a 58-year-old-male with acute onset of left upper and lower extremity weakness and a facial droop that
Stroke Alert: Beyond the Non-Con
A 60-year-old female presents to the ED with altered speech and decreased responsiveness that began less than one hour ago. Outside of a resolving hypoxia, all vital
The Masquerading HSV Infection
Case Presentation Your next patient is a 36-year-old female with fever, body aches, and headache. She has been ill for four days with a temperature of 101 °F at home. S
A Review of Basilar Skull Fractures
Case A 57-year-old intoxicated female presents after a fall from standing height. She denies any headache, vision changes, loss of consciousness, or neck pain, and
Brain Storm: Treating Acute Stroke and its Mimics
Faye T. Pedersen, MSIV, University of Miami, Miller School of Medicine, Miami, FL Mohammad M. Qureshi, MD, Resident Physician, Department of Neurolog
A Temporal Problem: Diagnosing and Treating Viral Encephalitis in the ED
Case Report A 49-year-old male presents to the emergency department with two days of confusion, agitation, and speech abnormal
Spinal cord injury (SCI) is a potentially life-altering neurological emergency associated with high rates of morbidity and long-term disability. This case highlights the importance of considering spin
In the emergency department, high fever and altered mental status in elderly patients often suggest central nervous system infection or sepsis. Without early neuroimaging to rule out intracranial stru