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In 1976, American College of Surgeons (ACS) ACS-COT began publishing resource documents to provide guidance for designation of facilities as trauma centers and appropriate care of acutely injured patients.
A new set of episodes was shot in 2004 and 2005, centered around two cities and three trauma centers: Baltimore, Maryland (University of Maryland Shock Trauma Center) and Toronto, Ontario, Canada (Sunnybrook and Women's College Health Sciences Centre; Toronto St. Michael's Hospital).