RESULTS: Among 688 patients, 56 (8.14%) were admitted to the Intensive Care Unit (ICU). The average age was 45.28 years, and predominantly male (62.5%). 46.45% of the patients were brought to the Emergency Department (ED) for altered mental state (AMS), while 37.5% were brought for trauma. Other chief complaints included “found down” (19.64%), shortness of breath (14.29%), suicidal ideations (7.14%) and seizure (3.57%). Of note, 42.85% of the patients were hypertensive (SBP >140) upon arrival to the ED with an average blood pressure of 183/104 mmHg. Admission locations were: medical ICU (60.71%), trauma ICU (32.14%), burn ICU (5.36%), and surgical ICU (1.78%). The admitting diagnoses included AMS (16.07%), septic shock (12.5%), gunshot wound (10.7%), blunt trauma (7.14%), seizure (7.14%), cerebrovascular hemorrhage (7.14%), stab wounds (5.3%), and motor vehicle collision (5.3%). A few other included auto vs pedestrian, hypertensive emergency, acute kidney injury (AKI), train vs pedestrian, and respiratory failure. The mean ICU length of stay (LOS) of 7.84 ± 10.78 days. 67.85% required mechanical ventilatory support with an average of 6.18 ± 10.379 ventilator days (VD). 12.5% required vasopressors and coincidentally 12.5% also were bacteremic. 16.07% of the patients had AKI while 5.35% were found to have rhabdomyolysis. However, only one patient (1.78%) required dialysis. Of the 56 ICU admissions, 6 (10.71%) expired in the ICU. Majority of these patients were male (66.67%) with an average age of 47.5 years. All these patients presented with AMS and they had an average ICU LOS of 5.17 days & 4.67 VD. The causes of death included multi-organ failure, multiple cerebral infarcts, cerebral edema, brain herniation, bacterial endocarditis and septic shock.