Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. The team will collaborate extensively with the Bend-hospital based acute surgery and trauma team in the development, refinement and collaboration of a robust trauma program designed to meet the growing needs of the Central Oregon community.