Radiology's backed up. Unresponsive trauma patient. Chris Reilly, MD (@docreilles) from ResusX:ReUnion: The CT head is yours to read right now. Do you have a locked-in systematic approach, or are you winging it? Share your sequence below.👇

Your ALF pt has signs of encephalopathy. Do you reach for lactulose or call nephrology? Nathalie van der Rijst, MD (@lifesupportmd) from ResusX:2026: Ammonia is dialyzable. At this stage, waiting on a bowel movement isn't a strategy. What's your answer? Comment to discuss.

Mid-resuscitation and you think the team's anchored on the wrong diagnosis. Sergio Zanotti, MD from ResusX:2026: How do you interrupt that? Does your unit have a built-in protocol for this, or does it fall on the senior clinician? Comment and share what works.👇

Hypotensive patient, needs intubation. Fluid bolus buys you time, but it can lead to third-spacing. Anand Swaminathan, MD (@emswami) from ResusX:2026: Are you using POCUS before you reach for the laryngoscope? What's your protocol? Comment below.👇

CT looks clean on brain window, but the mastoid air cells are opacified. Chris Reilly, MD (@docreilles) from ResusX:ReUnion: Are you catching that occult temporal bone fracture before it becomes a neurosurgical emergency? Comment with your approach.👇

Your ALF patient is agitated. Do you chase sedation or intubate early? Nathalie van der Rijst, MD (@lifesupportmd) from ResusX:2026: These patients spiral fast, and early intubation doubles as ICP control. What's your threshold at the bedside? Drop your approach below.

Your working diagnosis made sense at 2am but by rounds, nothing fits. Sergio Zanotti, MD from ResusX:2026: Do you pivot or stay the course? Anchoring bias can do real harm. How do you catch it in time? Comment below.

SpO2 100%; ready to intubate? Not so fast. Anand Swaminathan, MD (@emswami) from ResusX:2026: The longer you pre-ox with positive pressure, the more nitrogen you wash out, the more time you buy during apnea. What's your pre-ox protocol for the crashing pt? Comment below.👇

GCS of 3, CT head is up. Chris Reilly, MD (@docreilles) from ResusX:ReUnion: What's the first structure you check before you even think about midline shift? Tell us your read order in the comments.👇

Your altered patient’s skin looks fine, but you suspect a "liver bomb." Nathalie van der Rijst, MD (@lifesupportmd) from ResusX:2026: What's the one quick exam maneuver you won't skip to check for hidden jaundice? Let's see your answers in the comments.

Your whole team is anchored on the same diagnosis, and it's wrong. Sergio Zanotti, MD from ResusX:2026: That's not bad luck, that's systematic bias. How do you build a circuit breaker into your rounds? Drop your approach below.👇

MAP dropping, NorEpi not at bedside yet. Anand Swaminathan, MD (@emswami) from ResusX:2026: Are you grabbing phenyl out of habit or epi because it's right? 10 mcg push-dose epi changes the picture. What does your unit stock? Comment below.👇

Intubated trauma patient, CT shows sulcal effacement and mass effect. What's your next move? Chris Reilly, MD (@docreilles) from ResusX:ReUnion: Cerebral edema 2/2 diffuse axonal injury means ICP management starts now. How does your unit handle this? Comment to discuss.👇

IR is holding the line waiting for you to correct an INR of 3.8 in your ALF patient. Do you give FFP? Nathalie van der Rijst, MD (@lifesupportmd) from ResusX:2026: In liver disease, that number is lying to you. What's your actual bedside move here? Comment below.

Your team anchored hard during a resuscitation. Sergio Zanotti, MD from ResusX:2026: Do you retrain the clinician or redesign the environment? What's your unit's approach? Comment to discuss.

Sat 88%, MAP 62, bicarb 14, and they need a tube now. Anand Swaminathan, MD (@emswami) from ResusX:2026: Do you intubate or resuscitate first? What's your move at the bedside? Comment to discuss.👇

Elderly patient, minor fall, "small" SDH on CT. Do you watch or intervene? Chris Reilly, MD (@docreilles) from ResusX:ReUnion: The atrophied brain changes the whole risk calculus here. What's your threshold at the bedside? Comment to discuss.👇

Jaundice + encephalopathy, no liver history. How fast do you move? Nathalie van der Rijst, MD (@lifesupportmd) from ResusX:2026: ALF carries >40% mortality without transplant. The window to act is narrow. What does your first hour look like? Comment and discuss.👇

You just had three dramatic cases in a row, now every new patient feels like the same diagnosis. Sergio Zanotti, MD from ResusX:2026: Is that clinical intuition or availability bias hijacking your workup? Drop how you catch yourself mid-shift.👇

You're pre-briefing a difficult airway. Do you say if or when things go wrong? Anand Swaminathan, MD (@emswami) from ResusX:2026: One keeps your team locked in during a crisis, the other leaves room for hesitation. How do you brief your team for a high-risk tube? Comment below.