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 complete radiocarpal dislocations in Critical Cases in Orthopedics and Trauma, drainage of an acute paronychial abscess in The Critical Procedure, recurrent, low-risk chest pain in The LLSA Literature Review, an elbow injury in a child in The Critical Image, off-label tizanidine use in the Drug Box, and pyrethroid toxicity in the Tox Box.