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.