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, occult radial head fracture in Orthopedics and Trauma, tracheal suctioning in The Critical Procedure, digital nerve blocks in The LLSA Literature Review, and a patient with abdominal pain and hematemesis in The Critical Image.