Hear from Arooj Fatima, MD, MPH, Research Associate — Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, about how the JHU OACIS team enrolls critically ill ICU patients in clinical trials. Drawing on hands‑on experience recruiting patients for ICU‑based randomized and adaptive trials, Dr. Fatima will describe step‑by‑step operational strategies for inpatient screening, timely consent, coordination with ICU teams, and preservation of data integrity under high‑acuity conditions. The recruitment strategies highlight lessons learned for overcoming common enrollment challenges in the ICU setting through effective family communication, capacity assessments, and robust consent practices.