July kicks off our 2014-15 academic year and we would like to extend a warm welcome to our new interns, PA's & attendings. The resurgence of heroin use in the USA has prompted interest in the use of intranasal Narcan in both the pre-hospital and ED settings. We will be critically appraising three articles that attempt to address its utility. In addition, I included two brief articles regarding death notification. Whether it is your first or fiftieth, death notifications are never easy and can exemplify all that is good or bad about the practice of medicine.