Adult and pediatric patients (ages 15+) with diagnoses including neuro surgery/thrombectomy, respiratory failure, ARDS, MODS, sepsis, stroke, cardiogenic shock, renal failure (CRRT), general surgery, psych/OD, GI bleeds, and cancer-specific surgeries. Uses specialized equipment including Impella, balloon pump, CRRT, CVPs, Alines, Swans, EV-1000, ICP monitoring, Zoll Thermoguard, and Bell Mont rapid transfuser.