The John Stroger Jr. Hospital of Cook County is a primary care and tertiary referral center with a full range of critical care services. The Medical Intensive Care Unit (MICU) is the largest of the six adult intensive care units at our hospital. The MICU is a state of the art facility with twenty-two private patient rooms. The MICU provides care for patients with non-surgical severe and life threatening medical conditions like: gastrointestinal bleeding, respiratory failure, shock, and cardiac arrest. The MICU is staffed by fulltime, board-certified Critical Care specialists, dedicated Critical Care nurses, a pharmacist as well as a nutritionist. There is 24 hour in house coverage by a dedicated Critical Care fellow from our training programs supervising the residents in training. The MICU admits on average 4 critically ill patients a day totaling 1400 patients a year. On average 17 of the 22 beds are occupied every day with 8 patients on mechanical ventilation. We perform 870 bedside procedures a year which include among others central lines, arterial lines, tracheostomies and bronchoscopies. Since 2008 we have added significant upgrades to our equipment to provide better care to our patients. These include new therapeutic hypothermia units to induce therapeutic hypothermia for patients having suffered a cardiac arrest, new minimally invasive hemodynamic monitoring systems to guide resuscitation, and upgraded data monitoring systems. We also use state of the art ventilator with non-invasive ventilation and proportional assist capability. We further have a bedside ultrasound course that is provided by the emergency department leadership to help with central line placements as well as to assist in making bedside diagnosis for certain pathologies in patient being unable to be transported.