MRI technologists are often the first professionals to recognize life-threatening pathology and workflow breakdowns during image acquisition. This session explores the critical intersection of MRI safety, clinical urgency, and technologist responsibility in emergent and high-acuity imaging scenarios. Drawing from real-world cases and national standards (ACR, ASRT, ARMRIT), Douglas Boyd, RT(MR)(ARMRIT), will review technologist-driven escalation protocols, MRI safety workflow optimization, and ethical decision-making when urgent intervention is required. Participants will gain practical strategies for improving interdepartmental communication, enhancing patient outcomes, and ensuring compliance with MRI safety standards in emergency and routine practice alike.