In the October episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss opportunistic infections in patients with HIV and presentations of pelvic inflammatory disease. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including a winged scapula in Clinical Pediatrics, a die-punch fracture of the distal radius in Critical Cases in Orthopedics and Trauma, manual reduction of paraphimosis in The Critical Procedure, early anticoagulant reversal after trauma in the LLSA Literature Review, and a critically ill patient in The Critical Image.