In the December 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss managing alcohol withdrawal in the emergency department and evaluation and management of spontaneous intracranial hemorrhage. As always, you’ll also hear about the hot topics covered in CDEM’s regular features, including a boy with pharyngitis and a rash in Clinical Pediatrics, a reverse total shoulder arthroplasty dislocation in Orthopedics and Trauma, a zipper injury in The Critical Procedure, diagnosis and treatment of sexually transmitted infections in The LLSA Literature Review, and a newborn with bloody stool in The Critical Image.