diff --git a/server/_core/embeddings/degradation-alert.ts b/server/_core/embeddings/degradation-alert.ts
index 50a2d45f..e530cbd4 100644
--- a/server/_core/embeddings/degradation-alert.ts
+++ b/server/_core/embeddings/degradation-alert.ts
@@ -60,3 +60,37 @@ export function alertSilentEmptyResult(detail: SilentEmptyDetail): void {
     'error',
   );
 }
+
+/** Drug/dosing keyword fallback for queries the intent classifier misses. */
+const CLINICAL_DRUG_KEYWORDS = /\b(dose|doses|dosing|dosage|mg|mcg|administer|give|max|drug|medication)\b/i;
+
+export interface ClinicalQuerySignal {
+  /** NormalizedQuery.intent */
+  intent: string;
+  /** NormalizedQuery.isEmergent — cardiac arrest, anaphylaxis, airway, etc. */
+  isEmergent: boolean;
+  /** NormalizedQuery.extractedMedications */
+  extractedMedications: string[];
+  /** NormalizedQuery.extractedConditions — chest pain, stroke, seizure, etc. */
+  extractedConditions: string[];
+  /** NormalizedQuery.normalized text */
+  normalizedText: string;
+}
+
+/**
+ * True if a query is clinically meaningful, so a zero-result on a resolved
+ * agency is worth alerting (the "blank screen mid-call" case). Broader than
+ * dosing alone: a paramedic searching "chest pain" / "stroke" / "cardiac arrest"
+ * and getting nothing is exactly the failure we must surface. Reuses the
+ * normalizer's intent / emergent / condition / medication signals.
+ */
+export function isClinicalQuery(s: ClinicalQuerySignal): boolean {
+  return (
+    s.intent === 'medication_dosing' ||
+    s.intent === 'contraindication_check' ||
+    s.isEmergent ||
+    s.extractedMedications.length > 0 ||
+    s.extractedConditions.length > 0 ||
+    CLINICAL_DRUG_KEYWORDS.test(s.normalizedText)
+  );
+}
diff --git a/server/routers/search/semantic.ts b/server/routers/search/semantic.ts
index 1a7b8de5..15a6f7fe 100644
--- a/server/routers/search/semantic.ts
+++ b/server/routers/search/semantic.ts
@@ -24,7 +24,7 @@ import { validateSearchLimit, getUserTierFeatures } from "../../_core/tier-valid
 import { toStateCode } from "../../lib/state-codes";
 import { incrementAndCheckQueryLimit } from "../../db/users-usage";
 import { logger } from "../../_core/logger";
-import { alertSilentEmptyResult } from "../../_core/embeddings/degradation-alert";
+import { alertSilentEmptyResult, isClinicalQuery } from "../../_core/embeddings/degradation-alert";
 import { logQuery, createQueryLogEntry } from "../../_core/query-analytics";
 import { getDrugByName } from "../../db/drugs";
 import {
@@ -282,7 +282,15 @@ export const semanticRouter = router({
             query: input.query,
             agencyId,
             agencyName,
-            isClinical: isDrugRelated || isMedicationQuery,
+            // Broadened beyond dosing: also alert on emergent / condition queries
+            // (chest pain, stroke, cardiac arrest) that blank-screen mid-call.
+            isClinical: isClinicalQuery({
+              intent: normalized.intent,
+              isEmergent: normalized.isEmergent,
+              extractedMedications: normalized.extractedMedications,
+              extractedConditions: normalized.extractedConditions,
+              normalizedText: normalized.normalized,
+            }),
           });
         }
 
diff --git a/tests/embedding-degradation-alert.test.ts b/tests/embedding-degradation-alert.test.ts
index 27087ca9..0dd89dad 100644
--- a/tests/embedding-degradation-alert.test.ts
+++ b/tests/embedding-degradation-alert.test.ts
@@ -3,6 +3,7 @@ import * as sentry from "../server/_core/sentry";
 import {
   alertEmbeddingDegraded,
   alertSilentEmptyResult,
+  isClinicalQuery,
 } from "../server/_core/embeddings/degradation-alert";
 
 /**
@@ -49,3 +50,34 @@ describe("silent-degradation alerts", () => {
     expect(spy).not.toHaveBeenCalled();
   });
 });
+
+describe("isClinicalQuery (broadened clinical classification)", () => {
+  const base = {
+    intent: "general_search",
+    isEmergent: false,
+    extractedMedications: [] as string[],
+    extractedConditions: [] as string[],
+    normalizedText: "",
+  };
+
+  it("is true for an EMERGENT query with no drug term (chest pain / cardiac arrest)", () => {
+    expect(isClinicalQuery({ ...base, isEmergent: true, normalizedText: "cardiac arrest" })).toBe(true);
+  });
+
+  it("is true for a CONDITION query (stroke) even without dosing keywords", () => {
+    expect(isClinicalQuery({ ...base, extractedConditions: ["stroke"], normalizedText: "stroke" })).toBe(true);
+  });
+
+  it("is true for medication_dosing intent and for extracted medications", () => {
+    expect(isClinicalQuery({ ...base, intent: "medication_dosing", normalizedText: "epi dose" })).toBe(true);
+    expect(isClinicalQuery({ ...base, extractedMedications: ["epinephrine"], normalizedText: "epinephrine" })).toBe(true);
+  });
+
+  it("is true via the dosing-keyword fallback the intent classifier might miss", () => {
+    expect(isClinicalQuery({ ...base, normalizedText: "how much to administer" })).toBe(true);
+  });
+
+  it("is FALSE for a non-clinical / navigational query", () => {
+    expect(isClinicalQuery({ ...base, normalizedText: "about page settings" })).toBe(false);
+  });
+});