A bare knuckle pit fight between Oli Flower & Simon Finfer over when to transfuse in acute brain injury... Oli argues that the transfusion threshold should be 90 g/L, whereas Simon takes 70 g/L to be a more appropriate trigger to transfuse blood in the context of acute brain injury. The transfusion trigger is remarkable heterogeneous around the world and even within individual institutions and this drives crit care professionals mad - surely there must be a "right" number. Unfortunately there isn't, which is where understanding all the relevant aspects to the argument becomes important. Enjoy listening to these two duke it out and then make up your mind - what will your number be?