Effective teamwork within high-acuity environments, such as the Emergency Department (ED) caring for critically unwell patients, necessitates a paradigm shift away from traditional, hierarchical models of interaction. While leadership is often lauded, organizational reliability critically depends on the quality of followership. The common societal perception often portrays followers as passive, weak, or unmotivated individuals. In the healthcare context, this stereotype is not only misleading but poses a significant safety threat. A comprehensive strategy for improving teamwork requires the professional rebranding of followership from a subordinate role to that of an "Engaged Sentinel"—an essential, proactive safety layer.