The hospital I work at is 30 minutes from 2 level 2 trauma centers and 1 level 1 trauma center. These three organizations are substantially bigger than the hospital where I work and they routinely go on divert. Actually it's gotten so bad that all of the hospital in the region will go on divert and we, the smallest place will finally divert when it's just impossible to take anymore people. By that time though the environment in the ED starts turning into a people are going to start dying in the lobby and hallways environment. I really hate that administration lets this happen over and over. We also have a problem that when we do go on divert, our medics, yes our own medics tell people and families that if they insist on coming to our Ed that we can't refuse them. They show up, drop them off, give us dirty looks then leave. It really sucks at times.