sedatives, analgesics, paralytics, antihypertensive agents, volume expanders, vasopressors, bronchodilators, antianginals, thrombolytics, anticoagulants, antiemetics, antibiotics, and others. Invasive procedures and/or the monitoring of invasive procedures including , surgical crichothyroidotomy, chest escharotomies, , NG and OG tube management, , rapid sequence intubation, chest tube management, and IO management and others. Monitoring of invasive procedures including IV pumps, and others. System monitoring including arterial lines, CVP lines, ICP lines, Swan-Ganz, End tidal CO2, and others. The use of specialized equipment including transport ventilators, special ventilators, internal pacemakers, intra-aortic balloon pumps, ventricular assist devices, and others. Our staff of specialty care personnel includes critical care paramedics and ICU nurses. Currently Butler Medical Transport, LLC is only one of a handful of services (less than 6)state wide that offer this service.