Before recruiting the first patient in this study, we will undertake a comprehensive process to notify and consult the target communities that use GMH as their trauma center. The Emory University News and Information office has pledged its support. On the advice of Emory Healthcare marketing, we have allocated $40,000 to support marketing and community outreach activity during the first 6 months of the study. Lesser amounts have been allocated to keep the community informed in years 2 and 3. An independent interdisciplinary Safety Committee has been created to provide additional monitoring for study safety.