In the January 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss Rocky Mountain spotted fever and pediatric oncologic emergencies. As always, you’ll also hear about the hot topics covered in the regular features, including ectopic atrial rhythm in The Critical ECG, a child with corneal clouding in Clinical Pediatrics, traumatic below-knee amputation in Critical Cases of Orthopedics and Trauma, bladder rewarming for hypothermia in The Critical Procedure, highlights from the 2025 AHA guidelines for CPR and emergency cardiovascular care in The Literature Review, a boy with scrotal pain in The Critical Image, ketamine-midazolam for pediatric convulsive status epilepticus in The Drug Box, and arsenic toxicity in The Tox Box.