RT Book, Section A1 Funk, Deb A2 Cooney, Derek R. SR Print(0) ID 1126790080 T1 Interfacility Transport T2 Cooney's EMS Medicine YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071775649 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1126790080 RD 2024/04/23 AB Over the past several decades, advancements in medical care and technology have led to significant specialization in medical practice in many areas. These specialized services are often offered only at tertiary care centers where the resources exist to support the practice. In much the same way as trauma center designation occurred several decades ago, designation of specialized centers for stroke and cardiac care is seen in many areas.1-4 Even when a formal designation process is not in place, consolidation of advanced services for many conditions is evident within regions and hospital systems. Smaller hospitals have taken on the role of identification and stabilization of conditions that require more advanced resources for definitive management.5 Once such a condition has been identified and the patient appropriately stabilized, transfer to the facility capable of providing definitive care is necessary.