Paul, I don't disagree. When I said standard I am not arguing for a national standard. only the standard to which you as a medical professional are held, whether it is company stated policies, your medical directions' policies, local government policies, or the standards set by the local medical community (hopefully they all agree). If you have a written policy or standard set by any of the above which are accepted and abided by in the local community and you choose to deviate you have just set yourself up for trouble. As I said you won't get much of a chance to tell a story of how the trauma center doesn't meet your standard or you thought Dr. so and so was good enough.
Mike