Mr. Clean, Escape, Extend IA. So many trials...just tell me the bottom line! Here are some of the most critical neuro-interventional trials and their take home points.

Delivering a baby in the emergency department is far from ideal and although all usually goes well, you need to be prepared in case it doesn’t. Shoulder dystocia gets a lot of hype because of those fancy corkscrew maneuvers, so instead of that we’re going to talk about another dreaded complication, post-partum hemorrhage.

A 34 year old Vietnamese male presents with complaint of neck swelling. It began one month ago and worsened over the past few days. He endorses fatigue and a mild weight loss. Exam shows an indurated, non mobile mass without tenderness or erythema.  You order imaging and are concerned for TB but unsure what to do next.

So you think your young, healthy, sexually active patient with a painful joint and weird skin findings might have disseminated gonococcal infection or gonococcal arthritis…but you’re not sure of the difference between the two.  Is there a difference? Then you wonder how to properly diagnosis and treat such an illness.