Trauma systems and timing of patient transfer: are we improving?
Development of a statewide trauma system and outreach education has not significantly affected transfer times from nontrauma centers in our system. Outreach educational efforts should focus on systematic trauma evaluation, prompt transfer, and limitation of nontherapeutic testing.
In patients with obstructive jaundice, bilirubin levels in isolation represent an important tool for discriminating between benign and malignant underlying causes.