Patient population includes trauma (GSW, stabbing, MVA, falls), stroke, heart failure, chest pain, fluid/blood resuscitation, COPD, cardiac cath pre, ETOH/CIWA, IVDA, mental health, respiratory illness, GI disorders, and liver/renal failure. Skills required include cardiac rhythm interpretation, conscious sedation, PIV starts, chest tube management, NGT placement, drain/tube management, critical care drips, and blood administration.