Specialized equipment experience required: ECMO circuits, intra-aortic balloon pumps, Impella, CRRT machines, mechanical ventilators, Swan-Ganz catheters, invasive arterial pressure monitoring, temporary pacemakers, Baxter infusion pumps, chest drainage systems. Comprehensive case mix including post-operative CABG, valve repair/replacement, aortic aneurysm/dissection, cardiogenic shock, acute MI, heart failure, and advanced mechanical circulatory support.