The Surgical Intensive Care Unit has general surgery and emergency medicine residents assigned to the service. The general surgery/trauma attendings provide supervision and daily rounds with the residents in the SICU. Because of the high volume of patients on both the general surgery and trauma service, this rotation is very busy. Experience in the SICU will teach the junior resident to manage the critically ill and unstable patient. There are 10 beds in the SICU. The team consists of a general surgery R-2, an emergency medicine resident, a surgical director and an emergency medicine associate director.