"Ground floor" vs. "first floor"

It is ground floor in GB and first floor in the US.

The first three levels top to bottom are:

US:

Third Floor

Second Floor

First Floor

GB:

Second Floor

First Floor

Ground Floor


These are usually interchangeable, but I was recently visiting a relative at a major hospital on the shore of Lake Erie and when I came down the elevator I pressed "G" and found myself one floor below the one with the main entrance/exit. So, it's not entirely standard.