EDUCATION: We have established two new Emergency Critical Care training fellowships in partnership with both Internal Medicine and Anesthesiology. With EC3 serving as a cornerstone of acute critical care education, we’ve provided clinical rotations for hundreds of medical students, residents, and critical care fellows from Michigan Medicine as well as other US and international medical schools. The best and brightest physicians, nurses, advanced care providers, pharmacists, social workers, and respiratory therapists work together to provide the best care for our patients as well as providing a compas- sionate support network for the families and friends of our critically ill patients. With a generous donation from the Joyce and Don Massey Family Foundation, we are creating an EC3 family visiting center focusing on the well-being of our patient’s families and loved ones. Overall, the EC3 care model has proven to be successful in playing a role in a reduction in ICU admission from the ED. In its first two years of operation, EC3 has treated almost 5,000 patients. In addition: UM Adult Emergency Services patient volumes are up 6.9%, however, ICU admissions from the ED are down 16% overall. ED to ICU admissions of less than 24 hours are down 39% and only 31% of EC3 patients ultimately require ICU admission. 92% of EC3 patients are enrolled in an evidence- based care pathway covering a range of critical care conditions. The Joyce and Don Massey Family Foundation Emer- gency Critical Care Center (EC3) opened its doors on February 16, 2015. The 14-bed EC3 unit is the first and largest Emergency Department based ICU in the country. The driving principle of the EC3 is that our sickest patients will benefit from early, attentive, and aggressive critical care as soon as they come under our care. We firmly believe that this approach will give us the best possible outcomes. The mission of EC3 is in harmony with the tripartite mission of the University, which includes distinction in clinical care with data- driven protocols, cutting-edge acute critical illness research, and educating future leaders in critical care. Designed in partnership with Michigan Medicine critical care medical directors and with a very generous gift from the Joyce and Don Massey Family Foundation, the EC3 provides a platform to advance multi-disciplinary critical care research and education. Here are just a few of our major initiatives: TRAUMATIC BRAIN INJURY research, fueled by a generous gift from the Massey Family Foundation, and in conjunction with the U. S. Department of Defense, is bringing together collaborative expertise and innovation focused on the early diagnosis and treatment of TBI during the first 48 “golden” hours post injury. CLINICAL RESEARCH: The EC3 has given us the capability to open our own investigator-initiated clinical trials, but also to join large federally funded multi- center trial networks like NETT and PETAL. PETAL brings together the EC3, our Emergency Medicine team, as well as Michigan Medicine’s Departments of Surgery and Internal Medicine’s critical care divisions to focus on the early detection and treatment of acute lung injury. The mission of the Neurological Emergencies TreatmentTrials (NETT) Network is to improve outcomes of patients with acute neurologic problems through innovative research focused on the emergent phase of patient care. U-M has served as the Clinical Coordinating Center for NETT since it was established in 2006. 15