To be technically correct this should say 'Trauma Team has hit the shelves in the USA'.
Despite being a part of North America, Canada will not receive the game until the 25th because most stores only get their shipments in on a Tuesday and Trauma Team missed this weeks shipment. The only Wii game that will be shipped outside of normal delivery schedules is Super Mario Galaxy 2.
I'm really unhappy about it as I'd planned to be playing Trauma Team over the long weekend and then hitting Super Mario Galaxy next week. Now I'll have SMG2 before Trauma Team and it probably wont get much of a look-in until i've finished SMG2.
I guess it will give me a solid weekend of Monster Hunter 3 time though.