1 Alistair J. Kent, Joseph V. Sakran, David T. Efron, and Elliott R. Haut are with the Division of Trauma and Acute Care Surgery, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD. Adil H. Haider is with the Division of Acute Care Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA. Edward E. Cornwell III is with Howard University Hospital, Washington, DC.