In the February 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss seizure presentations and pediatric growth plate fractures. As always, you’ll also hear about the hot topics covered in Critical Decisions' regular features, including weakness and syncope in The Critical ECG, a limping child with fever in Clinical Pediatrics, scaphoid fractures in Orthopedics and Trauma, suprapubic aspiration in The Critical Procedure, balloon tamponade for unstable GI bleeds in The LLSA Literature Review, and a stubborn urinary tract infection in The Critical Image.