 I work in the Department of Critical Care Medicine, which houses a 50-bedded multi-disciplinary intensive care unit. This unit is one of the first of its kind in the country and is over 20 years old. We take care of over 2,700 critically ill patients every year, which makes it one of the busiest units in the country. I am proud to say that this unit is run by eight full-time intensive care specialists, who are extremely well trained and are experts in the field of critical care medicine. In addition to the expert doctors, we also have highly trained, efficient critical care nurses, which adds to the excellent, competent workforce of this unit. The ICU is able to provide world-class critical care facilities to all our acutely ill patients. This ICU is built on a unique cubicle model and appropriate ICU care. Each of the beds is able to provide multi-organ support such as ventilator, dialysis, and monitoring of each and every organ system as and when it is required. This is a structure which provides the patient adequate privacy and not compromising on the high-end care. We have the best facilities for spirited intensive care. We have facilities including non-invasive ventilations, high-flow nasal cannulas, we have mechanical ventilators. When we are not able to tackle the severe refractory hypoxia, we have facilities for extra-corporate membrane oxygenation. We may be one of the few ICs where we do medicine ultrasound on a regular basis for lady detection and management of the critically ill respiratory patients. Accidental or sometimes purposeful ingestion of toxin, drugs, and sometimes when patients get exposed to snake bite and they become critically ill. So it's important to diagnose them quickly and treat them accordingly with what required medical expertise. As a part of our unit which is there from last 20 years, we have been dealing with all these cases and we have treated many of those cases successfully. Department of Critical Care Medicine is also geared up to manage high-end neuro-trauma and neurosurgical patients. We are linked to a world-class ambulance facility which provides care of trauma and neurosurgical emergencies at the site in the community and they are brought to our intensive care unit which is geared up in terms of expertise, personnel, and infrastructure monitoring and providing world-class neuro-emergency care to all our neuro-critical care patients. The infrastructure includes trans-cranial Doppler, continuous EEG, neuro-endovascular interventions and high-end microscopic neurosurgical techniques. We also provide a continuum of care starting from emergency care, retrieval of neuro-critical care, emergency, neurosurgical ICU care and ending up with rehab to provide good stable long-term results. Acute kidney injury is very common in ICU patients. 50% of our ICU patients have got some form of acute kidney injury and mortality rate is very high in this patient. Our unit is well-equipped to handle these kind of critical ill patients. We have a team of multidisciplinary doctors, nephrologists, intensiveists. We do perform all form of dialysis, modified renal replacement therapies. We are well-equipped to handle these kind of patients. Manipal Hospital Bangalore is the first in Karnataka to perform cadaveric, robotic as well as laparoscopic kidney transplants. We also perform liver as well as bone marrow transplants. As a part of multidisciplinary intensive care unit, we are constantly involved and lies with the medical as well as surgical team to improve the outcomes as well as to facilitate early recovery of the patients. Special emphasis is placed also on management of organ donation as a part of our policy. We do take care of patients with advanced cardiac illnesses. In the situation demands, we are capable of supporting them with intraiotic balloon pump in lies with the cardiology team and cardiothoracic surgery team that also involves further advanced care like extracorporeal membrane oxygenation. Extracorporeal membrane oxygenation is advanced extracorporeal life support that is used whenever there is a failing heart or failing lung or both heart and lung. This especially helps the patients to recover the underlying pathology whether it is the primary cardiac problem or the heart problem. It can be used as bridge to transplant. We also deal with emergencies related to pregnancy and childbirth. As we all know, obstetric emergencies can be very dangerous to life including bleeding, infections and multiple other issues which has to be dealt with at an emergency basis. We are very proud to say that we are one of the quaternary care units that deal with life threatening emergencies and we also have an excellent backup team including obstetrics and gynecology and interventional radiology. We also have a very good backup from Blood Bank which deals with our massive transfusion protocols using massive bleeding and also high end investigations like thromboelastogram which is a point of care testing which helps us deal and tackle the emergencies in a very good way. We are proud to say that we generally have a very good outcome with obstetric emergencies and have saved many lives. We are also proud to say that this intensive care unit complies to world class international standards in quality and has one of the best mortality and morbidity rate comparable with the best ICUs in the world.