In the August 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss symptomatic bradycardia and procedural sedation and analgesia. As always, you’ll also hear about the hot topics covered in the regular features, including syncope in a young woman in The Critical ECG, a teenager with chest pain in Clinical Pediatrics, traumatic acetabular fracture-dislocation with intrapelvic femoral head protrusion in Critical Cases in Orthopedics and Trauma, manual testicular detorsion in The Critical Procedure, updates on sexually transmitted infections in The LLSA Literature Review, a patient with chest discomfort in The Critical Image, cefepime-enmetazobactam in The Drug Box, and mefloquine toxicity in The Tox Box.