Hello all.. This is my first post here and I need some help advice. I've been in critical care since I was a new grad. I started out on a small 8 bed Neuro Critical Care Unit. I was there for about a year and a half and was looking to have more experience/higher acuity so I transferred to our 36 bed Med/Surg ICU. We are a mixed CCU/ICU/CVICU. We take care of STEMI, IABP, LVAD, fresh CABG and typical med/surg ICU patients needing CRRT, vents, pressors, swan ganz, therapeutic hypothermia etc etc. I've been here for about a 2 years now and I'm feeling the need to move on to something with a higher acuity (again). I always have this itch for a "sicker" patient population. A hospital a little farther away from me has a large level I Trauma/Surgical/Neuro ICU with 30 beds and a couple open positions. We don't take any trauma patients in my current facility so this would be totally new territory for me. I'm feeling like the trauma population might be what I'm looking for as a nurse... So, I would like to hear from any Trauma ICU nurses! How is trauma ICU different? What different skills will I be using? How does the acuity differ? What does a typical trauma patient in your ICU look like?