OR trauma is, like they said, Organized chaos. However, just as an orchestra, it depends on the conductor. I work with some trauma surgeons that are excellent. And I would dare say the tops in their game. In a major trauma center a big trauma is like playing in that big game every day at work.. Very gratifying and instantly too... I would say that possibly you should look into an academic setting. You will say "WHAT THE...." every day you are there....