EPs are masters of the art of resuscitation. Resuscitation generally encompasses the diagnosis and stabilization of a critically ill patient in the first approximately 30 minutes of the ED stay. After this time period, the ED system is predicated on the patient rapidly moving upstairs to a CC unit. However, overcrowding in almost all hospitals has led to a situation in which it may be hours or, unfortunately in some cases, days before a patient may get an ICU bed. Most EDs are not designed or staffed to provide care beyond the initial resuscitation, and yet patients remain in the ED, sometimes languishing without optimal care. Even with ample staffing, the meticulous management requirements and the necessity for obsessive attention to detail in the care of the critically ill are sometimes unappealing to EPs.4