Today we are excited to welcome back one of the smartest fellows we have ever graduated, Michael Allison, MD. Dr. Allison is a native New Yorker, training at SUNY Downstate College of Medicine before completing a rigorous EM/IM/CCM training program here at the University of Maryland. Since that time he has spent his days at St. Agnes Hospital located downtown in Baltimore, MD. Since his departure, Dr. Allison has spent countless hours researching the exact mechanisms of respiratory failure in an attempt to solve this problem before it ever develops. Today he takes us through his approach to using high flow nasal cannula for nearly every patient who walks into his ICU, and in doing so unlocks a few novel uses along the way. Trust me, this is a talk your patients cannot afford for you to miss!