Performs special procedures including chest tube insertion, central line and PICC placement, bedside tracheostomy, Keo tube placement, IO insertion, codes, massive transfusion response, intubation, post cardiac arrest cooling catheter placement, and removal of femoral/radial sheaths. Common diagnoses include GIB, ETOH withdrawal, DKA, Sepsis, COVID, ARDS, CHF, CKD, AKI, donor care, post cardiac arrest, psychiatric symptoms, MSOF, CVA, and ICH.