ACEP Critical Decisions in Emergency Medicine

In the May 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute nontraumatic increased intracranial pressure and emergency neonatal care. As always, you’ll also hear about the hot topics covered in the regular features, including clinically suspected AMI with LBBB in The Critical ECG, reactive infectious mucocutaneous eruption in Clinical Pediatrics, spinal cord injury in Critical Cases in Orthopedics and Trauma, informed consent for pediatric patients in The Critical Procedure, delayed intubation for opioid overdose in The Literature Review, a pain in the neck in The Critical Image, rimegepant for migraines in The Drug Box, and North American coral snake envenomation in The Tox Box.Mentioned in this episode:ACEP26

In the March 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pneumothorax management and pediatric febrile rashes. As always, you’ll also hear about the hot topics covered in the regular features, including recurrent syncope in a patient with gastroenteritis in The Critical ECG, a case of pulmonary embolism in Clinical Pediatrics, sternoclavicular joint septic arthritis in Critical Cases in Orthopedics and Trauma, ultrasound-guided subacromial injection in The Critical Procedure, peripheral vasopressor use for early sepsis-induced hypotension in The Literature Review, a patient with a sore throat in The Critical Image, flucytosine in The Drug Box, and nickel carbonyl toxicity in The Tox Box.Mentioned in this episode:ACEP26

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 Critical Cases of 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 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.

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.Mentioned in this episode:ACEP26

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.Mentioned in this episode:ACEP26

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.Mentioned in this episode:ACEP26

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.Mentioned in this episode:ACEP26

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.Mentioned in this episode:ACEP26

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.Mentioned in this episode:ACEP26

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.Mentioned in this episode:ACEP26

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.Mentioned in this episode:ACEP26

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.Mentioned in this episode:ACEP26

In the May 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss spinal epidural hematoma and abscess and upper-extremity pain treatments. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including late presentation of hyperthyroidism in a patient with trisomy 21 in Clinical Pediatrics, atypical medial collateral ligament injury in Orthopedics and Trauma, arthrocentesis of the knee in The Critical Procedure, peripheral nerve block for hip fracture in The LLSA Literature Review, and late presentation of a sudden severe headache in The Critical Image.Mentioned in this episode:ACEP26