In this episode, Dr. Zaf Qasim takes us through the critical and complex procedure of Resuscitative Thoracotomy, as presented at the ResusX: Golden Hour conference. Dr. Qasim discusses the HOTTT algorithm, which includes Hemorrhage control, Oxygenation, Thoracostomy, Transfusion, and Trauma ultrasound, providing a step-by-step guide to managing patients with severe trauma. He offers practical tips on performing thoracotomies, addressing common challenges, and ensuring the best possible outcomes. This episode is packed with life-saving tips and is a must-listen for anyone in emergency medicine or trauma care.