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    Government & Organizations

    ACEP Critical Decisions in Emergency Medicine

    Hosts Danya Khoujah, MBBS, MEHP, FACEP, and Wendy Chang, MD, discuss the hot topics and clinical pearls and pitfalls highlighted in each monthly issue of Critical Decisions.

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    Latest Episodes:
    September 2026: Considerations for Aeromedical Transport and High-Altitude Illness Oct 02, 2026
    Show notes

    In the September 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss aeromedical transport and high-altitude illness. As always, you’ll also hear about the hot topics covered in the regular features, including failure to capture in The Critical ECG, soil-transmitted helminthic infections in Clinical Pediatrics, acute versus chronic prosthetic knee dislocations in Critical Cases in Orthopedics and Trauma, hydrodissection in The Critical Procedure, hospital-at-home care delivery in The Literature Review, deep venous thrombosis in The Critical Image, tranexamic acid in The Drug Box, and amatoxin poisoning in The Tox Box.


    August 2026: Managing Alcohol Use Disorder and Decoding Child Abuse Mimics Sep 08, 2026
    Show notes

    In the August 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss alcohol use disorder and child abuse mimics. As always, you’ll also hear about the hot topics covered in the regular features, including pacemaker dysfunction-related rhythm complications in The Critical ECG, transverse myelitis in Clinical Pediatrics, high-pressure injection injury in Critical Cases in Orthopedics and Trauma, figure-of-eight suture for hemostasis in The Critical Procedure, heatstroke management in The Literature Review, portal venous gas versus pneumobilia in The Critical Image, octreotide in The Drug Box, and bongkrekic acid toxicity in The Tox Box.


    July 2026: Acute Coagulation Disorders and Managing Pediatric Drowning Aug 17, 2026
    Show notes

    In the July 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss acute coagulation disorders and are joined by Dr. Prianka Kandhal for a conversation about pediatric drowning. As always, you’ll also hear about the hot topics covered in the regular features, including clinically suspected AMI with ventricular-paced rhythm in The Critical ECG, eczema herpeticum in Clinical Pediatrics, recurrent anterior shoulder dislocation in Critical Cases in Orthopedics and Trauma, stellate ganglion block in The Critical Procedure, extracorporeal CPR outcomes in The Literature Review, Achilles tendon injury in The Critical Image, levetiracetam in The Drug Box, and selenium toxicity in The Tox Box.


    June 2026: Evaluation and Management of Sexual Assault Patients and Identifying Illnesses of Bioterrorism Jul 06, 2026
    Show notes

    In the June 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss the evaluation and management of sexual assault patients and identifying illnesses of bioterrorism. 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, tracheomalacia in Clinical Pediatrics, slipped capital femoral epiphysis in Critical Cases in Orthopedics and Trauma, surgical drain stripping and removal in The Critical Procedure, caring for patients with criminal–legal system involvement in The Literature Review, epidural hematoma in The Critical Image, fomepizole in acetaminophen-induced liver injury in The Drug Box, and aconite toxicity in The Tox Box.


    May 2026: Acute Nontraumatic Increased Intracranial Pressure and Emergency Neonatal Care Jun 03, 2026
    Show notes

    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.


    April 2026: Evaluating and Managing BRUE and ABEM Initial Certification May 04, 2026
    Show notes

    In the April 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss evaluating and managing BRUE and ABEM initial certification. 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, a newborn with axillary skin sloughing in Clinical Pediatrics, the dreaded black line in Critical Cases in Orthopedics and Trauma, informed consent for adult patients in The Critical Procedure, emergency department violence in The Literature Review, bradycardia in The Critical Image, sugammadex in The Drug Box, and dimethoate toxicity in The Tox Box.


    March 2026: Pneumothorax Management and Pediatric Febrile Rashes Apr 14, 2026
    Show notes

    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.


    February 2026: High-Risk Otologic Infections and Thrombocytopenia Apr 02, 2026
    Show notes

    In the February 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss high-risk otologic infections and thrombocytopenia. As always, you’ll also hear about the hot topics covered in the regular features, including a man with chest pain and palpitations in The Critical ECG, a child with chronic constipation in Clinical Pediatrics, elbow fracture-dislocation in Critical Cases in Orthopedics and Trauma, ultrasound-guided calcific tendinitis barbotage and lavage in The Critical Procedure, ACOG 2024 guidelines on Rh D immune globulin prophylaxis in The Literature Review, a young man with numbness and falls in The Critical Image, eptinezumab for migraine prevention in adults in The Drug Box, and metformin toxicity in The Tox Box.


    January 2026: Rocky Mountain Spotted Fever and Pediatric Oncologic Emergencies Mar 12, 2026
    Show notes

    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.


    December 2025: Pediatric Acquired Heart Defects and Savings 101 for Physicians Jan 12, 2026
    Show notes

    In the December 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pediatric acquired heart defects and savings 101 for physicians. As always, you’ll also hear about the hot topics covered in the regular features, including wide-complex tachycardia in an older adult in The Critical ECG, a child with a vesicular rash in Clinical Pediatrics, distal femur Salter-Harris II fracture in Orthopedics and Trauma, Bartholin cyst drainage in The Critical Procedure, noninvasive respiratory support for acute respiratory failure in The LLSA Literature Review, a patient with a breast mass in The Critical Image, high-potency tetrahydrocannabinol in The Drug Box, and cone snail envenomation in The Tox Box.


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