A 65-year-old male presents with altered mental status and right sided weakness. Symptoms began approximately two hours earlier when the patient began to complain of a severe headache. He has become more confused and is now unable to walk normally. Vital Signs: BP 202/98, HR 89, RR 12, T 36.7, SpO2 98% RA. Exam reveals an uncomfortable gentleman who is able to state his name, but unable to give the correct date or his location. He has profound right sided weakness in both upper and lower extremities. What's your next step?

Welcome back to Pain Profiles series from David Cisewski. Today we look at a component of the "headache cocktail" - steroids... Do they make a difference, and what steroid, if any, should we use?

A patient presents with intracerebral hemorrhage but demonstrates an ECG with deep T wave inversions and QT prolongation. What could be going on?

The EM Boards Survival Guide provides you with regular tips and must-know items for EM boards and inservice. Today we cover neurology, part 1.

Seizures can range from status epilepticus to a simple febrile seizure. What are key considerations in the ED?

A 31-year-old male presents for headache for the past 72 hours. He has a history of tension headaches, but confirms that this headache feels different. He has a history of HIV/AIDS and is noncompliant with medications. His last known CD4 count one month prior was 200. He appears confused and is febrile. Neurologic exam reveals motor deficit of RUE and RLE. What's your next step?

Last month, a long-anticipated trial on ED migraine treatment came out evaluating the use of greater occipital nerve blocks (GONB) in the ED for refractory migraines. This edition of Pain Profiles looks at migraines, what we know about migraine treatment, and what nerve blocks bring to the table.

How do you evaluate the patient with syncope? Do we need a head CT? Are orthostatic vital signs useful? This post investigates what we do in the ED.