Critical Decisions In Emergency Medicine

In the January 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss Rocky Mountain spotted fever and pediatric oncologic emergencies. As always, you’ll also hear about the hot topics covered in the regular features, including ectopic atrial rhythm in The Critical ECG, a child with corneal clouding in Clinical Pediatrics, traumatic below-knee amputation in Orthopedics and Trauma, bladder rewarming for hypothermia in The Critical Procedure, highlights from the 2025 AHA guidelines for CPR and emergency cardiovascular care in The LLSA Literature Review, a boy with scrotal pain in The Critical Image, ketamine-midazolam for pediatric convulsive status epilepticus in The Drug Box, and arsenic toxicity in The Tox Box.

ACEP Critical Decisions in Emergency Medicine - December 2025 by American College of Emergency Physicians

In the November 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute radiation sickness and ocular foreign bodies. As always, you’ll also hear about the hot topics covered in the regular features, including recurrent palpitations in a middle-aged man in The Critical ECG, primary adrenal insufficiency in Clinical Pediatrics, Lisfranc injury in Critical Cases in Orthopedics and Trauma, active external rewarming of hypothermic patients in The Critical Procedure, managing patients with acute visual loss in The LLSA Literature Review, abdominal pain in a child after a fall in The Critical Image, acetylcysteine for acetaminophen toxicity in The Drug Box, and carbon monoxide toxicity in The Tox Box.

In the October 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing thermal burns and diabetic ketoacidosis and hyperosmolar state. As always, you’ll also hear about the hot topics covered in the regular features, including syncope and a rapid heartbeat in a young man in The Critical ECG, a boy with hip pain in Clinical Pediatrics, calcaneal fracture in Critical Cases in Orthopedics and Trauma, wedge resection for partial nail removal in The Critical Procedure, albuterol-budesonide rescue inhalation for asthma in The LLSA Literature Review, a patient with a change in mental status in The Critical Image, phenobarbital for alcohol withdrawal syndrome in The Drug Box, and paraquat toxicity in The Tox Box.

In the September 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss vaginal bleeding and hyponatremia managment. As always, you’ll also hear about the hot topics covered in the regular features, including a young man with heart palpitations in The Critical ECG, a child with purple vesicles in Clinical Pediatrics, hallux sesamoid fractures in Critical Cases in Orthopedics and Trauma, spermatic cord block in The Critical Procedure, the ISPAD 2022 Guidelines Summary in The LLSA Literature Review, a patient with a thumb injury in The Critical Image, droperidol in The Drug Box, and barium toxicity in The Tox Box.

August 2025: Symptomatic Bradycardia and Procedural Sedation and Analgesia by American College of Emergency Physicians

In the July 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss cardiovascular disorders in the emergency department observation unit and ectopic pregnancy presentations. As always, you’ll also hear about the hot topics covered in the regular features, including chest pain in a health young adult in The Critical ECG, periosteal reaction in a newborn in Clinical Pediatrics, lunate dislocation in Critical Cases in Orthopedics and Trauma, intrapleural anesthesia in The Critical Procedure, phenobarbital for alcohol withdrawal syndrome in The LLSA Literature Review, a patient with acute renal failure in The Critical Image, suzetrigine in The Drug Box, and metaldehyde toxicity in The Tox Box.

June 2025: Navigating Oncologic Emergencies and Budgeting 101 for Physicians by American College of Emergency Physicians

In the May 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing protest injuries and xylazine overdose. As always, you’ll also hear about the hot topics covered in the regular features, including a man with chest pain and irregular wide-complex tachycardia in The Critical ECG, a child with seizures and tachycardia in Clinical Pediatrics, occult radial head fracture in Orthopedics and Trauma, tracheal suctioning in The Critical Procedure, digital nerve blocks in The LLSA Literature Review, and a patient with abdominal pain and hematemesis in The Critical Image.

In the April 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute psychosis and lithium toxicity. As always, you’ll also hear about the hot topics covered in the regular features, including pelvic inflammatory disease in a non–sexually active teen in Clinical Pediatrics, joint capsule foreign bodies in Critical Cases in Orthopedics and Trauma, male urethral catheterization in The Critical Procedure, high-dose nitroglycerin for SCAPE in The LLSA Literature Review, and a patient with recurrent chest pain in The Critical Image.In the April 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute psychosis and lithium toxicity. As always, you’ll also hear about the hot topics covered in the regular features, including pelvic inflammatory disease in a non–sexually active teen in Clinical Pediatrics, joint capsule foreign bodies in Critical Cases in Orthopedics and Trauma, male urethral catheterization in The Cri

In the March 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pediatric sickle cell disease and trauma-informed care. As always, you’ll also hear about the hot topics covered in Critical Decisions' regular features, including a child with difficulty walking in Clinical Pediatrics, sternoclavicular joint septic arthritis in Orthopedics and Trauma, interscalene nerve block in The Critical Procedure, intranasal topical application of tranexamic acid for atraumatic anterior epistaxis in The LLSA Literature Review, and a toddler with arm pain in The Critical Image.

In the February 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss seizure presentations and pediatric growth plate fractures. As always, you’ll also hear about the hot topics covered in Critical Decisions' regular features, including weakness and syncope in The Critical ECG, a limping child with fever in Clinical Pediatrics, scaphoid fractures in Orthopedics and Trauma, suprapubic aspiration in The Critical Procedure, balloon tamponade for unstable GI bleeds in The LLSA Literature Review, and a stubborn urinary tract infection in The Critical Image.

In the January 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss factitious disorder in the emergency department and sickle cell disease in adults. As always, you’ll also hear about the hot topics covered in Critical Decisions' regular features, including ingestion of a water-growing toy in Clinical Pediatrics, a posterior knee dislocation in Orthopedics and Trauma, local anesthetic for nasal reduction in The Critical Procedure, Bystander CPR in Black and Hispanic communities in The LLSA Literature Review, and a fall in a parking lot in The Critical Image.

In the December 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing alcohol withdrawal in the emergency department and evaluation and management of spontaneous intracranial hemorrhage. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including a boy with pharyngitis and a rash in Clinical Pediatrics, a reverse total shoulder arthroplasty dislocation in Orthopedics and Trauma, a zipper injury in The Critical Procedure, diagnosis and treatment of sexually transmitted infections in The LLSA Literature Review, and a newborn with bloody stool in The Critical Image.

In the November 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss investigating lower GI bleeding in the emergency department and testicular torsion presentations. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including pediatric facial nerve palsy in Clinical Pediatrics, a distal triceps tendon tear in Orthopedics and Trauma, reverse Valsalva maneuver in The Critical Procedure, high-risk airway management in The LLSA Literature Review, and a patient with foot drop in The Critical Image.

In the October 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss emergency management of hanging and strangulation injuries and peripheral neuropathies. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including undifferentiated hypoxia following a home birth in Clinical Pediatrics, a vanishing hip in Orthopedics and Trauma, string yank technique for fishhook removal in The Critical Procedure, acute atrial fibrillation and atrial flutter best practices in The LLSA Literature Review, and a knee injury in The Critical Image.

In the September 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pediatric wrist injuries and postintubation care of critically ill patients. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including muscositis and rash after an acute febrile illness in Clinical Pediatrics, traumatic arthrotomy status post total knee arthoplasty in Orthopedics and Trauma, bursal aspiration and injection in The Critical Procedure, antimicrobial therapy for pediatric community-acquired pneumonia in The LLSA Literature Review, and a diving accident in The Critical Image.

In the August 2024 episode of the Critical Decisions in Emergency Medicine podcast, Drs. Danya Khoujah and Wendy Chang discuss ECG interpretation in athletes and emergency care for congenital heart defects. As always, you’ll also hear about the hot topics covered in the regular features, including a coughing pediatric patient in Clinical Pediatrics, septic subacromial bursitis in Critical Cases in Orthopedics and Trauma, drainage of a felon in The Critical Procedure, chronic drug use and abdominal pain in The LLSA Literature Review, and a patient with nausea and jaundice in The Critical Image.

In the July 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss traumatic brain injuries and urinary tract infections. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including a rare complication of Meckel diverticulum in Clinical Pediatrics, atraumatic medial foot pain in Orthopedics and Trauma, distal fingertip amputation management in The Critical Procedure, alcoholic ketoacidosis in The LLSA Literature Review, and more than just a migraine in The Critical Image.

In the June 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss identifying and managing patients with sepsis and stridor in pediatric patients. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including methotrexate-induced leukoencephalopathy mimicking a stroke in Clinical Pediatrics, medial clavicle fracture in Orthopedics and Trauma, perimortem cesarean delivery in The Critical Procedure, multisystem inflammatory syndrome in children in The LLSA Literature Review, and gastrostomy tube complication in The Critical Image.