Deborah A Talley1, Eleanor Dunlap2, Dawn Silverman2, Stephanie Katzer2, Meredith Huffines2, Cindy Dove2, Megan Anders2, Samuel M Galvagno2, Samuel A Tisherman2. 1. Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center dschwartz2@umm.edu. 2. Deborah A. Talley, Eleanor Dunlap, Dawn Silverman, and Stephanie Katzer are acute care nurse practitioners in the surgical intensive care unit, University of Maryland Medical Center, Baltimore, Maryland. Meredith Huffines is a senior clinical nurse II in the surgical intensive care unit, University of Maryland Medical Center. Cindy Dove is Director of Nursing for Surgery and Cardiac Surgical Services, University of Maryland Medical Center. Megan Anders is an anesthesiologist and Associate Chair for Safety and Quality, Department of Anesthesiology, University of Maryland Medical Center. Samuel M. Galvagno is an associate professor and Associate Medical Director, surgical intensive care unit, University of Maryland Medical Center, and Associate Chief Medical Officer, Maryland Critical Care Network, Baltimore. He is a colonel in the US Air Force and Director of Critical Care Air Transport Team operations, 943rd Aerospace Medicine Squadron, Davis-Monthan Air Force Base, Arizona. Samuel A. Tisherman is Medical Director, surgical intensive care unit, surgical intermediate care unit, and the Center for Critical Care and Trauma Education, University of Maryland Medical Center.