Keep quiet in emergency room with a black eye perhaps (6)
I believe the answer is:
shiner
'a black eye perhaps' is the definition.
I can't judge whether this definition defines the answer.
'keep quiet in emergency room' is the wordplay.
'keep quiet' becomes 'sh'.
'emergency room' becomes 'ER' (abbreviation popularized by US TV series).
'sh'+'in'+'er'='SHINER'
'with' acts as a link.
Can you help me to learn more?
(Other definitions for shiner that I've seen before include "A slangy black eye" , "Slang for a black-eye" , "Black eye (colloq.)" , "Possible end of scrapping" , "Her sin (anag)" .)