Join the ITA crew as we chat with Dr. Jonathan Meizoso from the University of Miami and Ryder Trauma Center as he discusses his journey from fellowship training in Denver to his research and work at Ryder Trauma Center. Our conversation delves into the importance of prioritizing circulation over airway management in trauma patients, particularly those in hemorrhagic shock. The discussion highlights the need to revamp traditional ATLS guidelines and the challenges of implementing new practices in diverse medical environments. Key insights include the impact of intubation timing on patient outcomes and the role of effective communication and interdisciplinary collaboration in advancing trauma care.