You are a rural physician in a small community. It is Saturday afternoon and you are at home, relaxing with a good book after a busy week. It is snowing outside so you hope that phone calls today are going to remain quiet. But with snow like this, accidents are bound to happen.

The next thing you know, you receive an urgent call from the local rural hospital asking you to come in immediately. They tell you that your Clinic Nurse, Gail, has been involved in a motor vehicle accident (MVA), and that the paramedics have just brought her in by ambulance.