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, clogged feeding tube management in The Critical Procedure, the 2019 update for pediatric advanced life support in The LLSA Literature Review, and the crying infant in The Critical Image.