The February 2025 issue of Pediatric Critical Care Medicine (PCCM) contains late-breaker articles, an original research article, several clinical investigation articles, a PCCM trial, and two research letters. Several articles assess scores in critically ill children, including the Phoenix Sepsis Score and criteria and the Pediatric Early Warning Score (PEWS). Other articles investigate outcomes of different sites for durable central venous access in pediatric cardiac patients, success rates of tracheal intubation performed by attending physicians, the correlation of antithrombin with activated protein C in disseminated intravascular coagulation and sepsis, assessment of bag-tube manual ventilation in a mobile simulation unit, use of citrate anticoagulation in continuous renal replacement therapy, and the effect of different cooling durations after out-of-hospital cardiac arrest in the Pediatric Influence of Cooling Duration on Efficacy in Cardiac Arrest Patients (P-ICECAP) trial.