Hippoed Blog | Matthew DeLaney, MD

Is Cervical Spine Manipulation All It’s Cracked Up to Be?

When Brit Long brought us another segment, "High Risk, Low Prevalence: Spontaneous Cervical Artery Dissection" in his High Risk/Low Prevalence series on ERcast, he dove deep into the world of spontaneous arterial dissections, particularly cervical artery dissections (SCAD). While the term “spontaneous” suggests these cases occur without a clear cause, studies show that up to 40% of SCAD cases follow minor trauma—and among the suspected...

By Matthew DeLaney, MD on

March 20, 2025

Necessary or Nonsense: Screening for the Suicidal Patient Pt. 2

Across a wide variety of practice environments, the concept of medically screening a patient who presents with suicidal ideation is often a source of friction between the emergency department and psychiatry. In theory, a medical screening exam would help the ED team identify acute medical conditions in patients with co-existing psychiatric pathology, but in reality, local guidelines and protocols can lead to extensive and often unnecessary...

By Matthew DeLaney, MD on

November 29, 2024

Is Prescribing for Friends and Family Worth It?

I’ve always appreciated having a friend with some strings they could pull. For years, we had a family friend who ran one of the most popular restaurants in town. I never fully appreciated their willingness to let me skip the line and a never-ending stream of free apps until they moved and a new owner took over.

By Matthew DeLaney, MD on

May 02, 2024