
ACEP Critical Decisions in Emergency Medicine
ACEP Critical Decisions in Emergency Medicine is a podcast from the American College of Emergency Physicians. 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. The show provides practical insights for emergency medicine professionals.
Episodes

September 2026: Considerations for Aeromedical Transport and High-Altitude Illness
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 d

August 2026: Managing Alcohol Use Disorder and Decoding Child Abuse Mimics
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 i

July 2026: Acute Coagulation Disorders and Managing Pediatric Drowning
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 h

June 2026: Evaluation and Management of Sexual Assault Patients and Identifying Illnesses of Bioterrorism
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
May 2024: Spinal Epidural Hematoma and Abscess and Upper-Extremity Pain Treatments
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 l
January 2024: Envenomation and Acute Vision Loss
In the January 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss the consequences of envenomation and acute vision loss. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including persistent dysuria in an adolescent girl in Clinical Pediatrics, an unusual case of osteomyelitis in Critical Cases in Orthopedics and Tra
April 2024: Pediatric Seat Belt Injuries and Diabetic Foot Infections
In the April 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pediatric seat belt injuries and diabetic foot infections. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including septic shock caused by a perforated appendix in Clinical Pediatrics, chronic cervical myelopathy following a fall in Critical Cases in Or
March 2024: Abdominal and Neck Stab Wounds and Human Sex Trafficking
In the March 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing abdominal and neck stab wounds and identifying and assisting victims of human sex trafficking. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including pediatric rash post vaccination in Clinical Pediatrics, ultrasound-guided aspiration of a se
February 2024: Pediatric Asthma and Vaccine-Preventable Illnesses
In the February 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pediatric asthma and recognition and management of vaccine-preventable illnesses. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including the importance of a thorough family history in Clinical Pediatrics, chronic shoulder dislocation secondary to a
December 2023: ABEM Continuing Certification and Hemoptysis
In the December 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss ABEM continuing certification and the evaluation and management of hemoptysis. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including baking soda intoxication in Clinical Pediatrics, a multiligamentous knee injury in Critical Cases in Orthopedics a
November 2023: Pediatric Head Injuries and Organisms Resistant to Antibiotics
In the November 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pediatric head injuries and organisms resistant to antibiotics. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including lung injuries from vaping in Clinical Pediatrics, a high-pressure injection injury in Critical Cases in Orthopedics and Trauma, a
October 2023: Opportunistic Infections in HIV Patients and Pelvic Inflammatory Disease
In the October 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss opportunistic infections in patients with HIV and presentations of pelvic inflammatory disease. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including a winged scapula in Clinical Pediatrics, a die-punch fracture of the distal radius in Critical Cas
September 2023: Management of the Acutely Agitated Patient and Metabolic Acidosis
In the September 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss management of the acutely agitated patient and metabolic acidosis. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including a feared complication of cystic fibrosis in Clinical Pediatrics, Morel-Lavallée lesions in Critical Cases in Orthopedics and
August 2023: Liver Disease in the Emergency Department and Diagnosis and Managing Syphilis
In the August 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss liver disease and syphilis. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including ultrasound of a skin abscess in Clinical Pediatrics, triplane fracture in Critical Cases in Orthopedics and Trauma, intrauterine device removal in The Critical Proced
July 2023: Emergency Diagnosis and Treatment of Deep Vein Thrombosis and Small Bowel, Big Problems
In the July 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss deep vein thrombosis and small bowel problems. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including new-onset seizure in Clinical Pediatrics, bilateral patellar tendon rupture in Critical Cases in Orthopedics and Trauma, emergency needle decompressio
June 2023: Pericarditis Presentations in the Emergency Department and Esophageal Emergencies
In the June 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss pericarditis presentations in the emergency department and esophageal emergencies. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including lead reversals in The Critical ECG, Meckel diverticulum in Clinical Pediatrics, trans-scaphoid perilunate and comp
May 2023: Thyroid Storm in the Emergency Department and Pediatric Headache
In the May 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss thyroid storm and pediatric headaches. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including pediatric stroke in Clinical Pediatrics, traumatic hemipelvectomy in Critical Cases in Orthopedics and Trauma, cold gastric lavage in The Critical Procedure, t
April 2023: Identifying Illnesses of Bioterrorism and Emergency Presentations of Upper GI Bleeds
In the April 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss illnesses of bioterrorism as well as upper GI bleeds. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including posterior auricular mass in Clinical Pediatrics, flexor tenosynovitis of the thumb in Critical Cases in Orthopedics and Trauma, dorsal penile
March 2023: Transverse Myelitis and Guillain-Barré Syndrome and Traumatic Spinal Cord Injury
In the March 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss transverse myelitis and Guillain-Barré syndrome as well as traumatic spinal cord injury. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including pediatric diphenhydramine overdose in Clinical Pediatrics, open Achilles tendon laceration in Critical Case
February 2023: Managing Mpox and Presentations of Inflammatory Bowel and Diverticular Diseases
In the February 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing mpox as well as emergency presentations of inflammatory bowel and diverticular diseases. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including splenic laceration in Clinical Pediatrics, isolated subtalar dislocation in Critical Cases in O
January 2023: Best Practices for Opioid Administration and Pediatric Toxicology Considerations
In the January 2023 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss best practices for opioid administration as well as pediatric toxicology considerations. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including anaphylaxis caused by an aspirated foreign body in Clinical Pediatrics, Charcot neuroarthropathy of the a
December 2022: Small Bowel Obstruction and Ileus and Septic Arthritis and Gout
In the December 2022 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss small bowel obstruction and ileus as well as septic arthritis and gout. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including acute otitis media in Clinical Pediatrics, chronic shoulder dislocation in Critical Cases in Orthopedics and Trauma, the
November 2022: Kidney Stones in the Emergency Department and Treating Mesenteric Ischemia
In the November 2022 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss kidney stones as well as mesenteric ischemia. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including monkeypox in Clinical Pediatrics, an atypical presentation of gout in Critical Cases in Orthopedics and Trauma, management of small, bleeding tongu
October 2022: Care for Sexual Assault Victims and Selecting Appropriate Critical Care Transport
In the October 2022 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss caring for sexual assault victims as well as selecting appropriate critical care transport. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including moyamoya disease–induced stroke in Clinical Pediatrics, recurrent prosthetic hip dislocation in Critic
September 2022: Management of Opioid Use Disorder and New Approaches to Geriatric Care
In the September 2022 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss medication for opioid use disorder as well as care for geriatric patients in the emergency department. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including ectopic pregnancy in Clinical Pediatrics, occult talus fracture in Critical Cases in Orth
August 2022: Cervical Artery Dissection and Drowning and Submersion Injury
In the August episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss cervical artery dissection as well as drowning and submersion injury. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including Takayasu arteritis in Clinical Pediatrics, Lisfranc amputation after a crush injury in Critical Cases in Orthopedics and Trauma, c
July 2022: Back Pain as a Red-Flag Symptom and Perirectal, Perianal, and Pilonidal Abscesses
In the July episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss back pain as a red-flag symptom as well as perirectal, perianal, and pilonidal abscesses. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including peritonsillar abscesses and deep space neck infections in Clinical Pediatrics, patella fracture with traumatic a
June 2022: Necrotizing Fasciitis and Cellulitis and Respiratory Failure in a Myasthenic Crisis
In the June episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss necrotizing fasciitis and cellulitis as well as respiratory failure in a myasthenic crisis. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including spontaneous splenic rupture in infectious mononucleosis in Clinical Pediatrics, pelvic fractures with urethral
May 2022: Postpartum Emergencies and Identifying Intimate Partner Violence
In the May episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss postpartum emergencies as well as intimate partner violence. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including brain abscess and stroke risk in Clinical Pediatrics, orbital compartment syndrome in Critical Cases in Orthopedics and Trauma, dental fractur
April 2022: Fever Following Travel and Pediatric Alcohol Poisoning
In the April episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss fever following travel as well as pediatric alcohol poisoning. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including THC toxicity in Clinical Pediatrics, subtalar dislocations in Critical Cases in Orthopedics and Trauma, and dental splints in The Critical
March 2022: Cerebral Venous Thrombosis & Approach to Pediatric Patients with Altered Mental Status
In the March episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss cerebral venous thrombosis as well as the differential diagnosis and management of altered mental status in pediatric patients. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including ileocolic intussusception in Clinical Pediatrics, Monteggia fractures in
February 2022: Mammalian Bites and Pediatric Toxic Ingestions
In the February episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss the proper management and disposition for mammalian bites as well as the management of pediatric toxic ingestions, including sedatives, hypnotics, anticholinergics, and sympathomimetics. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including The Critica
January 2022: Unexplained Pediatric Vomiting and Handling Medical Disinformation
In the January edition of Critical Decisions in Emergency Medicine, Drs Danya Khoujah and Wendy Chang discuss unexplained vomiting in pediatric patients, which can create tricky presentations. They also discuss medical disinformation and how to address it at the bedside. As always, you'll hear about the hot topics covered in CDEM’s regular features, including our newest feature, Clinical Pediatric
December 2021
In the December edition of Critical Decisions in Emergency Medicine, Drs Danya Khoujah and Wendy Chang discuss massive transfusion protocols and the latest advances in them. They also discuss pediatric appendicitis and its tricky presentations. As always, you'll hear about the hot topics covered in CDEM’s regular features, including our newest feature, Clinical Pediatrics.
November 2021
In the November edition of Critical Decisions in Emergency Medicine, Drs Danya Khoujah and Wendy Chang discuss pediatric pain management and the crucial differences between treating pain in children as opposed to adults. They also discuss return-to-play decisions that help protect injured athletes from further harm. As always, you'll hear about the hot topics covered in CDEM’s regular features, in
October 2021
In the October edition of Critical Decisions in Emergency Medicine, Drs Danya Khoujah and Wendy Chang discuss transgender identities and how to ensure that trans patients receive the quality care they deserve. They also discuss how to treat pediatric patients experiencing intussusception. As always, you'll hear about the hot topics covered in CDEM’s regular features, including our newest feature,
September 2021
In the September edition of Critical Decisions in Emergency Medicine, Drs Danya Khoujah and Wendy Chang answer your burning questions about pediatric burn and inhalation injuries. They also discuss the management of hazardous chemical exposures, including decontamination and treatment. As always, you'll hear about the hot topics covered in CDEM’s regular features, including our newest feature, Cli
August 2021
In the August edition of Critical Decisions in Emergency Medicine, Drs Danya Khoujah and Wendy Chang help you recognize the difference between a colic-y baby and a real emergency. They also discuss how to treat patients with eating disorders in your ED. As always, you'll hear about the hot topics covered in CDEM’s regular features, including our newest feature, Clinical Pediatrics.
July 2021
In the July edition of Critical Decisions in Emergency Medicine, Drs Danya Khoujah and Wendy Chang clear the air on postintubation complications in critically ill patients. They also discuss management of lower-extremity dislocations in the emergency department and specify when orthopedic consultation is required. As always, you'll hear about the hot topics covered in CDEM’s regular features, incl
June 2021
In the June edition of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss common life-threatening complications associated with left ventricular assist devices and their management. They also provide insight in the use of nasopharyngoscopy in the emergency department. As always, you'll hear about the hot topics covered in CDEM’s regular features, including our n

May 2021
In the May edition of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss anticoagulant reversal, including critical bleeding. They’ll also shatter the questions around stress fractures and overuse injuries, including the mechanisms of injury, main risk factors, and management considerations. As always, you’ll hear about the hot topics covered in CDEM’s regular fe

April 2021
In the April edition of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang take on the great outdoors and discuss the various forms of high-altitude illness, including acute mountain sickness, high-altitude cerebral edema, and high-altitude pulmonary edema. They’ll also discuss the presentation and management of several tick- and mosquito-borne illnesses, such as Lyme dis

March 2021
In the March episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang take a close look at pediatric psychiatric emergencies, including depression, suicidal ideation, and even agitation. They’ll also be joined by author Dr. Bradford Schwartz, who describes the dangers associated with synthetic drugs of abuse, which are more popular and available than ever before. And

February 2021
In the February episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang unveil a new feature on Clinical Pediatrics and discuss immunoglobulin A vasculitis, formerly known as Henoch-Schönlein purpura. They are joined by author Dr. Ryan Spangler who describes important differences in the evaluation and management of elderly patients with chest pain. And, as always, y

January 2021
In the January episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang dive into an emotionally charged topic: child abuse, a public health crisis that crosses all socioeconomic, racial, and ethnic lines. They’ll also unmask the Great Masquerader, infectious endocarditis, to help you identify patients at high risk of this potentially devastating disease, which can l

December 2020
In the December episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang tackle a hot topic: fire-related injuries, including smoke inhalation and thermal and soft tissue burns. They’ll tell you what you need to know to administer aggressive treatment in the prehospital environment and emergency department. They’ll also delve into another emotionally-charged topic: s

November 2020
In the November episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang translate the whistles and squeaks created by stridor, a common sign of airway compromise in pediatric patients. They’ll also be joined by author Dr. Brit Long, who describes some of the most troublesome complications that lead cancer patients to the emergency department, some of which pose grav

October 2020
In the October episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang go south to discuss the latest strategies for diagnosing and managing male urological emergencies and female infertility treatment-related complications. Hear about straightforward techniques for treating priapism, testicular torsion, paraphimosis, and more, and learn how to recognize the potenti

September 2020
In September’s episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang talk vent strategies for patients who are hard to oxygenate and/or ventilate. They’ll also tell you all you need to know for evaluating a child who presents after a BRUE (brief resolved unexplained event) - the modern way to address the so-called ALTE we are more familiar with! In addition, you’l
August 2020
In the August episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang break down the acute management of diabetic ketoacidosis, a potentially fatal hyperglycemic crisis that can lead to dangerous electrolyte abnormalities, including hypokalemia, if not recognized and treated early. They’ll also discuss ways to avoid a common and frustrating problem in the emergency
July 2020
In this month’s episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang provide the 411 on recognizing and managing blunt trauma in athletes, including concussions, spinal injuries, chest injuries, and even life-threatening presentations, such as commotio cordis. They also discuss the various approaches to the investigations and treatment of pulmonary effusions, a c
June 2020
In this month’s episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang tell you all you need to know about managing pediatric dehydration, a common but often deceptively difficult condition to diagnose. They’ll also jump into postintubation care with optimum sedation and analgesia regimens and tips for treating the hemodynamic derangements that many intubated patie
May 2020
In this month’s episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang cut through the uncertainty surrounding global PPE guidelines and discuss the vital role protective equipment plays in infection control. They’ll also highlight an often-overlooked but potentially deadly diagnosis: elder abuse, a growing risk in both domestic and institutional settings. In addit
April 2020
In this month’s episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss how to minimize the dangers posed by pediatric respiratory viruses, including influenza, bronchiolitis, and croup. They’ll also tackle the revolutionary world of immunotherapy, which can lead to unique and life-threatening complications in cancer patients. In addition, you’ll hear about
Critical Decisions in Emergency Medicine - March 2020
In this month’s episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing the extremes of heat and cold – an increasing challenge for adventure-seekers, who are exploring hazardous environments with increasing ease and regularity. They’ll also be joined by Dr. Aleta Hong, who will share lifesaving information on the management of pulmonary embolisms,
Critical Decisions in Emergency Medicine - February 2020
In this month’s episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss the sensitive subject of suicide, the third most common killer of Americans younger than 35 years. They’ll also dive into personal finance and share some essential tips for protecting your nest egg. In addition, you’ll hear about other hot topics featured in the February issue, including











