But Bullard says that there are gray areas and when faced with a difficult case some small hospitals send the patient on to a major hospital without first stabilizing the patient or contacting an appropriate hospital. Patients whose conditions are too critical to bear this kind of delay often die en route.
但是其中仍有模糊地帶，卜樂得說，有些小醫院遇到棘手的病例，沒有做好穩定病情的醫療處置，甚至沒有聯絡好轉診醫院，就將病患往大醫院推，病情太重的病人往往禁不起如此拖延或折騰，因此魂斷轉診路上。