Objectives: In an era of diminishing reimbursement, efficient resource utilization is paramount, The effects of three parallel factors were tracked: (a) coordinated physician-hospital patient care, (b) increasing physician awareness of resources, and (c) in-house trauma attendings. Design: Observational study. Methods: A Windows-based database application was made to track an resuscitations at a Level I adult/pediatric trauma center, Time data were immediately entered upon discharge a from the resuscitation bay, and further data (Injury Severity Score, length of stay, and mortality) were obtained by linking to a concurrent trauma registry, Group I was a 6-month control, Group II reflects factors a and b, and group III adds factor c, each contributing 3 months of additional data, Statistical comparisons were made using analysis of variance and Fisher's exact test. Results: There were 2,546 resuscitations with 1,201, 636, and 709 in group I, II, and III, respectively: The five most frequent dispositions, resuscitation times, and hospital costs were analyzed. Conclusions: Given similar patient groups, factors a and b together and factor c improved throughput in the resuscitation bay bg approximately 35% (5-133 min) each. Hospital costs concurrently decreased with no rise in mortality.