There is a major role of an interventional radiologist in the emergency
department for both diagnosis and emergent interventions. We discuss
three different cases presenting to our emergency department with melena, hemoptysis and a stuck guide wire. All cases with varied presentations were initially evaluated and diagnosed in the emergency room and immediate interventional radiology help was sought. All the three cases were successfully managed and dis-charged from the emergency department.Many of the medical conditions and trauma can present as emergency and require immediate intervention. Involving an interventional radiologist early during emergencies has inspired us to develop the REPAIR initiative where colla-boration of the two specialities has led to remarkable outcomes. It has resulted in significant decrease in morbidity and mortality as well as the length of hospital stay.

Keywords: Emergency department; Interventional radiolog;, Melena;
Hemoptysis.