Dr. Kirsty Challen, an Emergency Medicine Consultant at Lancaster Teaching Hospitals, and Dr. Angela Cai, a Clinical Assistant Professor at the University of Pennsylvania, delve into the nuances of diagnosing spinal epidural abscesses. They discuss staggering misdiagnosis rates and the crucial role of clinical management tools in improving detection. The conversation highlights how these tools can streamline diagnostic processes while navigating the complexities of emergency practices. Their insights reveal the challenges of achieving substantial patient outcome improvements despite implementing evidence-based approaches.