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 Critical Cases in Orthopedics and Trauma, active external rewarming of hypothermic patients in The Critical Procedure, managing patients with acute visual loss in The LLSA Literature Review, abdominal pain in a child after a fall in The Critical Image, acetylcysteine for acetaminophen toxicity in The Drug Box, and carbon monoxide toxicity in The Tox Box.