NSAIDs, acetaminophen, steroids, triptans, antidopaminergics, oxygen, IV fluids, diphenhydramine... What's in your "headache cocktail"? This emDocs post looks at the evidence behind treatment of headaches in the ED.

A 26-year-old female presents with fevers and chills. She is febrile and tachycardic, with normal BP. You think you hear a murmur on exam, and on further questioning, she says she regularly uses IV drugs. What should you consider, and what are your next steps?

A 63-year-old female presents with nausea, vomiting, and altered mental status. Initial VS demonstrate BP 225/121, HR 88, 98% RA, T 98F, RR 18. What are your next steps?

A 23-year-old male is brought in by EMS with agitation. His VS include T 41 C, HR 133, BP 182/115, RR 26, D stick 118. EMS is concerned for ingestion, and the patient is not cooperative. What's your next step?

A 42-year-old male is brought in by EMS with ventricular fibrillation. You are finally able to obtain ROSC, though the patient remains comatose. What are your next steps? This week's EM@3AM covers post cardiac arrest care.

A 42-year-old female presents with altered mental status after being found outside. She is bradycardic and hypotensive, and your normal thermometer reads "Error". You ask for a core monitor, which provides a reading of 27C.

This edition of emDocs Cases evaluates patients with end stage renal disease and dialysis. Are you ready for uremic encephalopathy, pericardial tamponade, air embolism, line infections, and more?

This week's EM@3AM brings you a case of a patient with myalgias and dark urine after exercising.