Emergency medicine is, by its nature, borne out of necessity and through painful lessons that specialized care is required for many patients presenting to hospital “ERs” with complaints ranging from minor ailments to life threatening illness and even in peri-arrest states. While individual medical specialists can often provide care for a specific disease process, none are able to one minute treat a poly-trauma patient by intubating them and placing a chest tube and then move on to treating a patient with myocardial infarction, diagnose an ectopic pregnancy or resuscitate a septic shock patient. It is this diversity that makes emergency medicine exiting for its practitioners and also creates.