Today we are fortunate to have Dr. Joseph R. Shiber, an Associate Professor in the Departments of Emergency Medicine and Surgical Critical Care at the University of Florida College of Medicine. Dr. Shiber also acts as the Co-Director of the Neuroscience ICU and attends in the SICU/TICU. And if that wasn’t enough, he has also has the distinct pleasure of the being in the FIRST graduating class of the EM/IM/CCM program at the University of Maryland! This is a talk that you CANNOT miss if you ever plan to encounter COPD or CHF in your patient population.