In the June 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss navigating oncologic emergencies and budgeting 101 for physicians. As always, you’ll also hear about the hot topics covered in the regular features, including a woman with syncope in The Critical ECG, finger amputation in a child in Clinical Pediatrics, a floating shoulder in Critical Cases in Orthopedics and Trauma, subungual foreign body removal in The Critical Procedure, outpatient treatment for pulmonary embolism in The LLSA Literature Review, an infant with fever and leg swelling in The Critical Image, acetazolamide in The Drug Box, and boric acid toxicity in The Tox Box.