GSW pt arrests in your bay. Someone's ready to start compressions, but the tank is empty. Mohamed Hagahmed, MD (@hagahmedmd) from ResusX:Rounds: Do you pump the chest or restore volume first? The sequence matters more than you think. What's your team's move? Drop it below.

Your trauma pt is septic 12 days post-transfusion, from a wound infection. Mike Carunchio, FP-C (@okmedicpodcast) from ResusX:2026: One study would call that a “transfusion complication.” How does your team actually weigh transfusion risk at the bedside? Comment to discuss.👇

BP crashing, blood bank is 15 min out. Do you bridge with crystalloids or pressor, or hold? Haney Mallemat, MD (@criticalcarenow) from ResusX:2026: In hemorrhagic shock, the textbook says neither. What do you actually do at the bedside? Comment to discuss.👇

Your patient on high-dose sedatives meets some criteria for brain death. Casey Albin, MD (@drcaseyalbin) from ResusX:2026: Do you push for an early ancillary test or wait it out? What's the bigger risk here in your experience? Let's talk it out in the comments.

Your HF patient's urine output looks fine, but are they actually decongesting? Sharad Patel, MD (@msmsharad) from ResusX:2026: Check a urine sodium 1 hour post-diuretic. What number are you targeting at your institution? Comment to discuss.👇

Your team asks "Should we start CPR?" But is that even the right question at the bedside? Mohamed Hagahmed, MD (@hagahmedmd) from ResusX:Rounds: The better ask is why did this patient lose their pulse. How do you approach traumatic arrest? Comment below.👇

EMS: "Pt is in hemorrhagic shock, we've been on scene 38 mins." Mike Carunchio, FP-C (@okmedicpodcast) from ResusX:2026: They're giving blood, but at what point does a prolonged scene time make the intervention futile? Does it change your receiving plan? Comment below.

Your hemorrhagic shock patient stabilizes post-transfusion, then vasopressors start climbing again. Haney Mallemat, MD (@criticalcarenow) from ResusX:2026: Reperfusion injury just gave you a second hemodynamic problem. Have you managed this at the bedside? Comment to discuss.

CT is up. Pt is comatose. You can still see gray-white differentiation. Casey Albin, MD (@drcaseyalbin) from ResusX:2026: Does that change your management? This 1 finding shifts prognosis, family conversations, and your next move. Comment with how you handle it at your shop.

Your CRRT rate is 300 cc/hr and the MAP is drifting down. Sharad Patel, MD (@msmsharad) from ResusX:2026: Slow it or hold? The Frank-Starling curve tells you, but only if you know where your patient sits on it. What's your move? Drop it below.

Mid-forearm bleed, tourniquet in hand; where does it go? Mohamed Hagahmed, MD (@hagahmedmd) from ResusX:Rounds: "High and tight" is being challenged at the bedside. What's your current practice, and has your trauma team made the switch? Comment to discuss.👇

Your EMS system can't carry whole blood, does it matter? Mike Carunchio, FP-C (@okmedicpodcast) from ResusX:2026: 26 mins on scene before initiating blood in shock? Product choice is irrelevant at that point. Comment with how your system handles scene-time discipline.

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Your trauma pt is at 6u of blood and still unstable. Would you reach for vasopressin? Haney Mallemat, MD (@criticalcarenow) from ResusX:2026: The AVERT-Shock trial showed fewer transfusions and no harm signal. Small study, but the best we have. Comment below with your protocol.

Which spinal reflexes are still compatible with brain death? Which movements should stop the exam? Casey Albin, MD (@drcaseyalbin) from ResusX:2026: Triple flexion shows up in ~30% of cases. Would you know how to call it? Drop your answer.👇

Trauma patient loses pulses in your bay. Mohamed Hagahmed, MD (@hagahmedmd) from ResusX:Rounds: Do you run a standard ACLS code, or does the physiology change everything? The pump is empty. What's your next move? Comment to discuss.

Your blood expires in 5 days and the calls aren't coming. Do you know what a high-performing EMS system does next? Mike Carunchio, FP-C (@okmedicpodcast) from ResusX:2026: This operational decision is what separates good programs from great ones. Comment with your protocol.

Acute shock, peripheral IV only. Do you run norepi? Haney Mallemat, MD (@criticalcarenow) from ResusX:2026: It's titratable, supports cardiac output via beta, and the data suggests 10–16 mcg/min as the sweet spot. How does your unit handle peripheral pressors? Comment below.

Your brain death pt just shrugged their shoulder. Do you stop the evaluation? Casey Albin, MD (@drcaseyalbin) from ResusX:2026: Knowing which movements can still occur with cerebral circulatory arrest changes your management. What's your bedside approach? Comment to discuss.👇

You're on scene with a pulseless trauma patient. Your partner starts compressions. Mohamed Hagahmed, MD (@hagahmedmd) from ResusX:Rounds: Do you let them continue or stop them for rapid transport? What's the right call? Tell me your move in the comments.

Which prehospital bundle showed double-digit mortality gains in penetrating trauma hemorrhagic shock? Mike Carunchio, FP-C (@okmedicpodcast) from ResusX:2026: Not 2%, not 3%, double digits! PRBCs + TXA + calcium before arrival. Comment to discuss.

You start levo and the BP improves. Haney Mallemat, MD (@criticalcarenow) from ResusX:2026: Is it just SVR, or did you also give your pt an "autologous bolus" from venoconstriction? How does this concept change your fluid resuscitation strategy? Comment below.

Catastrophic TBI + shock-dose vasopressin on board. Can you still diagnose DI? Casey Albin, MD (@drcaseyalbin) from ResusX:2026: Vasopressin runs ~10x the typical DI dose, masking polyuria entirely. What labs or trends tip you off first? Comment to discuss.👇

Traumatic cardiac arrest, hemorrhagic etiology suspected. What's the highest-yield intervention for survival? Mohamed Hagahmed, MD (@hagahmedmd) from ResusX:Rounds: Pt walked out Day 14 post-angioembolization. What would you have done in the field or trauma bay? Comment below.

SWIFT showed 26.8% mortality at 30 days, but only 11% of deaths were from hemorrhage. Mike Carunchio, FP-C (@okmedicpodcast) from ResusX:2026: Can you really blame prehospital blood for a sepsis death on day 12? What's your read? Comment below.👇

Your hemorrhagic shock pt is already sympathetically maxed. Do you add vasopressin (a non-adrenergic V1 agonist) on top? Haney Mallemat, MD (@criticalcarenow) from ResusX:2026: The data says it's worth asking. What's your bedside approach? Comment to discuss.👇

A patient becomes severely hypotensive during a brain death exam. Casey Albin, MD (@drcaseyalbin) from ResusX:2026: What's the most likely underlying cause of their profound hypovolemia that you need to identify? Drop your diagnosis in the comments.

Your trauma patient is pulseless and exsanguinating. Your team starts CPR. Do you stop them? Mohamed Hagahmed, MD (@hagahmedmd) from ResusX:Rounds: Compressions won't move volume that isn't there. What's your bedside protocol? Comment below

Your trauma patient hits the bay, BP tanking. The MTP cooler isn't there yet. What's the real 'door-to-blood' time at your center? Mike Carunchio, FP-C (@okmedicpodcast) from ResusX:2026: This delay is a quiet killer. How do we shrink that time? Let's discuss in the comments.

Trauma pt bleeding out + MTP = vasopressin getting diluted in real time. Haney Mallemat, MD (@criticalcarenow) from ResusX:2026: The physiology makes a strong case for early vasopressin in hemorrhagic shock. What's your bedside trigger for starting it? Comment and discuss.