Respiratory failure, ARDS, MODS, sepsis, stroke, cardiogenic shock (impella, balloon pump - not required exp.), renal failure (CRRT) - not required exp., general surgery, psych/OD, GI bleeds, cancer specific surgeries - esophagectomy, internal chemo administration, CVPs, Alines, Swans, EV-1000, ICP monitoring- all can train real time, Zoll -Thermoguard for hypothermia protocol, Bell Mont rapid transfuser. - Common diagnoses/Types of patients: Adults and Peds >15 years old, Neuro surgery (initiating neuro interventionalist with thrombectomy program) - not required exp.,