Mark Iscoe, a Senior EM resident from Washington, D.C., soon to embark on a clinical informatics fellowship at Yale, dives into the critical realm of subarachnoid hemorrhage. The discussion highlights the complexity of diagnosis, emphasizing the importance of advanced CT imaging and timely intervention. Iscoe explains the Hunt and Hess grading scale, illustrating how it informs treatment decisions and mortality risks. He also covers management strategies, including blood pressure regulation and the use of tranexamic acid to enhance patient outcomes in this high-stakes scenario.