American College of Emergency Physicians

ACEP Critical Decisions in Emergency Medicine

Science EN ↓ 104 episodes

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.

Author

American College of Emergency Physicians

Category

Science

Latest episode

Jul 6, 2026

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Episodes

June 2026: Evaluation and Management of Sexual Assault Patients and Identifying Illnesses of Bioterrorism 06.07.2026

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,...

May 2026: Acute Nontraumatic Increased Intracranial Pressure and Emergency Neonatal Care 03.06.2026

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 Pedia...

April 2026: Evaluating and Managing BRUE and ABEM Initial Certification 04.05.2026

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 bl...

March 2026: Pneumothorax Management and Pediatric Febrile Rashes 14.04.2026

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, sternoclavicul...

February 2026: High-Risk Otologic Infections and Thrombocytopenia 02.04.2026

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-disloc...

January 2026: Rocky Mountain Spotted Fever and Pediatric Oncologic Emergencies 12.03.2026

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 amputati...

December 2025: Pediatric Acquired Heart Defects and Savings 101 for Physicians 13.01.2026

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 f...

November 2025: Acute Radiation Sickness and Ocular Foreign Bodies 12.12.2025

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 C...

October 2025: Managing Thermal Burns, and Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State 08.12.2025

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...

September 2025: Vaginal Bleeding and Hyponatremia Management 20.10.2025

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 Critic...

August 2025: Symptomatic Bradycardia and Procedural Sedation and Analgesia 25.09.2025

In the August 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss symptomatic bradycardia and procedural sedation and analgesia. As always, you’ll also hear about the hot topics covered in the regular features, including syncope in a young woman in The Critical ECG, a teenager with chest pain in Clinical Pediatrics, traumatic acetabular fracture-dis...

July 2025: Cardiovascular Disorders in the EDOU and Ectopic Pregnancy Presentations 07.08.2025

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...

June 2025: Navigating Oncologic Emergencies and Budgeting 101 for Physicians 11.07.2025

In the June 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss navigating oncologic emergencies and budgeting 101 for physicians. As always, you’ll also hear about the hot topics covered in the regular features, including a woman with syncope in The Critical ECG, finger amputation in a child in Clinical Pediatrics, a floating shoulder in Critical C...

May 2025: Managing Protest Injuries and Xylazine Overdose 01.07.2025

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, occ...

April 2025: Acute Psychosis Evaluation and Treating Lithium Toxicity 12.06.2025

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,...

March 2025: Pediatric Sickle Cell Disease and Trauma-Informed Care 21.05.2025

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,...

February 2025: Seizure Presentations and Pediatric Growth Plate Fractures 24.04.2025

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...

January 2025: Factitious Disorder and Sickle Cell Disease in Adults 05.02.2025

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 Orth...

December 2024: Alcohol Withdrawal and Spontaneous Intracranial Hemorrhage 22.01.2025

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 re...

November 2024: Investigating Lower GI Bleeding in the Emergency Department and Testicular Torsion Presentations 18.12.2024

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 Ortho...

October 2024: Emergency Management of Hanging and Strangulation Injuries and Peripheral Neuropathies 19.11.2024

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 Orthopedic...

September 2024: Pediatric Wrist Injuries and Postintubation Care of Critically Ill Patients 29.10.2024

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 to...

August 2024: ECG Interpretation in Athletes and Emergency Care for Congenital Heart Defects 11.09.2024

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...

July 2024: Traumatic Brain Injuries and Urinary Tract Infections 26.08.2024

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 fingerti...

June 2024: Identifying and Managing Patients With Sepsis and Stridor in Pediatric Patients 23.08.2024

In the June 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss identifying and managing patients with sepsis as well as 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 frac...

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