In this insightful discussion, Deborah Schoenfeld, a pediatric emergency medicine educator, dives into the complexities of pediatric urinary retention and acute transverse myelitis, outlining key diagnostic strategies. Matthew McArthur, an expert in headache management, reviews the nuances of post-dural puncture headaches, emphasizing prevention and treatment. Joseph Yasmeh presents a compelling medico-legal analysis of clenched fist injuries, detailing common pitfalls in management. Brit Long tackles the controversial use of IV thrombolysis for minor strokes, while Lauren Westaffer shares invaluable mentorship and leadership strategies for emerging physicians.