"Significant cause of strokes in young/middle aged patients"Olabiyi Akala, MD summarizes the signs, symptoms, and imaging options for making the diagnosis of carotid artery dissection, and discusses current controversies in management.

"Recent studies have suggested that the timing of surgery may be less important for overall outcomes. Rather, outcomes may be more related to the extent of cord compression at presentation"Jennifer Robertson, MD, MSEd brings us an update on cauda equina syndrome, including making the diagnosis, timing of surgery, and medicolegal risks.

Rachel Wightman, MD presents the case of a 33 year-old female with two days of pelvic and rectal pain.

"PALM-COEIN separates the differential for vaginal bleeding into structural and non-structural causes"Jason Kan, MD covers the various causes and ED management strategies for severe vaginal bleeding in non-pregnant patients.

"There has been ongoing controversy regarding the ratio of components that should be given during massive transfusion"How do you avoid inducing a coagulopathy in trauma patients requiring massive blood transfusion? Zach Radwine, MD summarizes the recent evidence for the 1:1:1 ratio.

"Think about these substances in a patient with either an opioid, sympathomimetic, or hallucinogenic toxidrome"Alex Koyfman, MD summarizes the assorted clinical presentations of these three "legal" highs.

"Within the next decade, the incidence of CKD is expected to nearly double" In this article, Matt Smetana, DO describes the common manifestations of hemorrhage in uremic patients, and then outlines strategies to stop the bleeding.

"Two independent variables associated with post-ETI arrest: Pre-induction shock index and weight" Intubating beyond the ABCs: Learn how to support your crashing patient while providing definitive airway management. Zach Radwine, MD covers identification of patients at risk for hypotension, dealing with hemodynamic instability, and how to address the numerous complications that may arise.