Ransomware and cyber incidents targeting hospital digital infrastructure have emerged as genuine patient-safety threats yet remain under-recognized in critical care practice. Intensive care units (ICUs) are uniquely vulnerable: Physiological states are tightly coupled to digital workflows, electronic health records (EHRs) anchor medication safety, and dense Internet of Medical Things (IoMT) environments expand the attack surface. India faces a compounded risk-the 2022 All India Institute of Medical Sciences (AIIMS) Delhi ransomware attack exposed fragmented systems, an absence of post-incident clinical surveillance, and the operational reality that "Western" cybersecurity fixes do not translate directly to resource-variable settings. This Viewpoint reframes cyber-resilience as a bedside safety competency rather than an information technology (IT) concern and proposes a resource-stratified three-tier preparedness framework. Tier 1 defines minimum viable controls achievable by any ICU: Downtime kits, paper medication administration records (MARs), designated roles, and structured drills. Tier 2 adds targeted redundancy; tier 3 outlines advanced capabilities for tertiary centers. When digital systems fail, patient survival depends on analog competencies practiced before the crisis.

How to cite this article: Dhenki A, Dasgupta S, Choudhury A, Mondal T, Mukhopadhyay S, Bardhan J. Author Response: From Diagnostic Concordance to Implementation-grade Lung Ultrasound in Critical Care. Indian J Crit Care Med 2026;30(5):455.

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How to cite this article: Hao Y. Author Response: Letter in Response to the Article: Network Meta-analysis of the Efficacy of Different Music Therapy Interventions for Delirium in Adult Intensive Care Unit Patients. Indian J Crit Care Med 2026;30(5):448-450.

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The expansion of evidence-based medicine has profoundly shaped contemporary critical care practice, with randomized trials and guidelines increasingly informing bedside decisions. While trainees are often familiar with the headline results of major studies, many struggle to critically appraise trial design, methodology, and applicability to individual patients. This gap risks uncritical adoption of evidence without adequate consideration of context, limitations, or potential harms. Drawing on Richard Feynman's distinction between knowing labels and understanding underlying principles, this viewpoint argues that knowing trial outcomes is not equivalent to understanding the evidence itself. We highlight how headline-driven interpretations can mislead clinical practice and emphasize the importance of critical appraisal as a core clinical skill. A practical checklist is proposed to support structured bedside interpretation of ICU trials.