In the January episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss best practices for opioid administration as well as pediatric toxicology considerations. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including anaphylaxis caused by an aspirated foreign body in Clinical Pediatrics, Charcot neuroarthropathy of the ankle in Critical Cases in Orthopedics and Trauma, tendon sheath injections in The Critical Procedure, conservative versus interventional treatment for spontaneous pneumothorax in the LLSA Literature Review, and leukocytosis and fever in a diabetic patient in The Critical Image.