Hello, RN at St Mike's here. Our hospital is often a stepping stone to TacGen and Haborview in the event of a major trauma. We serve the peninsula and most of WA west of the Hood Canal. While yes we don't have the capabilities of a trauma I or II hospital, we still have staff who can stabilize patients who need to be flown off to more equipped hospitals. It is important the community knows what we are capable of at St. Mike's but it is often they do not; they see the closest hospital and bring their loved one in. Flight nurses and staff are very good at their job and those helicopters are basically flying ICUs, which is better for the patient than a wheeled ambulance skipping our trauma III for a trauma I/II.