In the January 2024 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss the consequences of envenomation and acute vision loss. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including persistent dysuria in an adolescent girl in Clinical Pediatrics, an unusual case of osteomyelitis in Critical Cases in Orthopedics and Trauma, tungsten carbide ring removal in The Critical Procedure, cellulitis and abscess in the emergency department in The LLSA Literature Review, and GI bleeding in The Critical Image.