Every year the journal receives interesting manuscripts that do not necessarily address the designated quarterly topic. This issue contains some of the most interesting, unsolicited articles.

The topics include novel clinical applications of ECMO (extracorporeal membrane oxygenation), recent changes in practices related to feeding patients after colorectal surgery, and how to address the needs of patients with sickle cell anemia in the emergency department. Other articles focus on sepsis, the post-sepsis syndrome, workplace violence, and improving techniques for cricothyrotomies. The remainder of this issue deals with everyday problems such as sleep quality in the intensive care unit, emotional stress reduction for staff members, end-of-life care, and the recognition and management of delirium that occurs in the critical care environment. Finally, an author shares insight about the psychosocial needs of patients and families as they cope with life-threatening conditions and hospitalization.

It is interesting to note that these articles represent the work of nurses, physicians, therapists, educators, students, and prehospital care providers. The content reflects not only evolving clinical practices in the United States but also refreshing perspectives of intensive care staff in other countries. Please enjoy this special issue of Critical Care Nursing Quarterly and share it with your colleagues.

-Carmen G. Warner, MSN, MDiv, RN, FAAN

Issue Editor