I work in a 14 bed CCU in Ohio and we have noticed a drastic changed in our patient population in the last 3-5 years. When I started in this unit in 1999, we got a lot of patients with MI's, Unstable angina, post cath lab intervention patients, new onset Afib, and patients waiting to go for a CABG. Now, our population is much sicker and seems to belong in a medical ICU. We get the DKA's, overdoses, new CVA's, a lot of ETOH, sepsis, COPD and a lot of other bizarre stuff. We never get Unstable angina patients anymore, they go to stepdown and a lot of the time our patients don't even have a cardiac diagnosis. I was wondering if other CCU nurses noticed the same thing in their units. I realize that times have changed, but we are getting frustrated with this new, difficult population. Any thoughts?