This procedure-oriented volume is directed appropriately and suited espe­cially to medical students, surgery residents, and fellows in acute care surgery or surgical critical care. Described herein are all of the common procedures that may be indicated in daily practice in the surgical intensive care unit or the trauma bay. Experienced practitioners will recognize that the descriptions in these pages represent “a way” of doing things, not necessarily “the way.” There is indeed, as the saying goes (with apologies to all animal-lovers), “more than one way to skin a cat.” These procedure descriptions represent the collective wisdom and experi­ence of the skilled, dedicated practitioners at Denver Health Medical Center (DHMC), an institution of renown that is recognized for expertise and compas­sionate care for an underserved patient population. In their hands, these interventions are effective and rendered as safe as they can be. Doctors Pieracci and Moore and the group at DHMC are to be commended for this valuable con­tribution. It is hoped that the readership will be guided and inspired to master these techniques and develop their own technical refinements to incorporate into their own practices.