Many physicians are reluctant to discuss issues related to a patient s weight, and patients are not always receptive to the discussion.924 No study has investigated the use of the ED as a site for nutritional and dietary counseling. Overall, although emergency physicians recognize the need for health promotion, few actually practice routine screening and counseling of emergency patients, and many are skepti- cal of the effect of ED health promotion.924 Aside from education on individual risk factors and overall healthy lifestyle promotion, the ED can serve as an effective location to educate patients about stroke signs and symptoms and the need to seek immediate medical attention. A pilot study of stroke education using educational videos was per- formed using printed stroke education materials and one-on- Compared with a control group that did not receive any intervention, the intervention group demon- strated better stroke awareness immediately after the program, but by 3 months after intervention, although statistically still more knowledgeable than the control group, test scores had declined, highlighting the need for reinforcement. The inter- vention did not affect rates of smoking or positive changes in diet and physical activity. The ED can be part of a broader sys- tem to educate and reinforce these key messages. Health care, in particular emergency care, is undergoing dramatic changes. The increasing demands for emergent and primary care will strain the capacity of many EDs to provide even basic emergency care to acutely ill patients. 