In the January 2025 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss factitious disorder in the emergency department and sickle cell disease in adults. As always, you’ll also hear about the hot topics covered in Critical Decisions' regular features, including ingestion of a water-growing toy in Clinical Pediatrics, a posterior knee dislocation in Orthopedics and Trauma, local anesthetic for nasal reduction in The Critical Procedure, Bystander CPR in Black and Hispanic communities in The LLSA Literature Review, and a fall in a parking lot in The Critical Image.