Setting the Stage.- Setting The Scene.- Managing and Leading in Critical Care.- Critical Care from 50,000 Feet.- Expectations Around Intensive Care - 10 Years On.- The Safety and Quality Agenda in Critical Care Medicine.- The Challenge of Emerging Infections and Progressive Antibiotic Resistance.- Technology Assessment.- Trends in Pediatric and Neonatal Critical Care in the Next 10 Years.- Diagnostic, Therapeutic and Information Technologies 10 Years from Now.- The Patient Process as the Basis for the Design of an ICU.- Information Technology.- Diagnostic Technologies to Assess Tissue Perfusion and Cardiorespiratory Performance.- Microcirculatory Distress in Critically Ill Patients: Meaning and Future.- Managing Infection: From Agar Plate to Genome Scan.- Immunological Monitoring, Functional Genomics and Proteomics.- Improving Organ Function.- The Profile and Management of Acute Respiratory Distress Syndrome.- The Ventilator of Tomorrow.- My NeuroICU 10 Years from Now.- Disaster Medicine.- How Might Critical Care Medicine be Organized and Regulated?.- Hospital and Medical School Organization of Critical Care Services.- Physician Staffing in the ICU 10 Years from Now.- ICU Research- One Decade From Now.- Organizing Clinical Critical Care Research and Implementing the Results.- Funding and Accounting Systems.- Measuring Performance.- Ethics and End-of-life Care.- Rationing in the ICU: Fear, Fiction and Fact.- Training.- Training Pathways-Physician and Non-Physician.- Simulation Training in Critical Care Medicine.- The Critical Care 'Agenda'.- The Agenda for the Intensivist.- Transforming Adult Critical Care Service Delivery in Ontario.