Penn State Milton S. Hershey Medical Center is a 491-bed tertiary care medical center in a rural setting, serving central Pennsylvania and northern Maryland. The catchment area has a population base of over 1.2 million people. Penn State Milton S. Hershey Medical Center is the only Level I Trauma Center for both the adult and pediatric population in south Central Pennsylvania with approximately 2,000 admissions to the adult service annually. The trauma team is led by a physician specially trained in the management of critically ill and injured patients. The Surgical Intensive Care Unit (SICU) is a 30-bed state-of-the-art complex providing critical care services for over 1,800 patients annually. The patient population in the SICU includes a diverse mix of cardiothoracic, general, vascular, transplant, trauma, and neurosurgical cases. The acute care surgery practice meets the needs of those patients requiring emergency general surgery and provides surgery and follow-up to those patients as well as referral back to their home community physicians.