MTE #8: Acute-on-Chronic Liver Failure in Practice—Early Recognition and Decision-Making at the Bedside (Ticketed)

Early recognition and classification of acute-on-chronic liver failure (ACLF) remains a major challenge, often resulting in delayed care and missed critical intervention windows. As global definitions evolve, clinicians must apply these frameworks in real time—sometimes before formal criteria are met. This expert session utilizes case-based discussions to demonstrate how experienced providers identify ACLF early, operationalize consensus definitions, and make high-impact decisions during the first hours to days of illness. Practical strategies, common diagnostic pitfalls, and judgment-based approaches are highlighted for trainees, early-career clinicians, and practicing providers seeking actionable guidance for real-world ACLF care.