States with poor access to a comprehensive trauma center have more deaths occurring before injured patients’ arrival at a hospital, compared with states that have better access. Furthermore, this frequency of prehospital deaths contributes to higher overall trauma-related mortality, according to new research findings presented today at the American College of Surgeons Clinical Congress 2018. Overall, more than half (28 states) have an above-average prehospital death burden, reported researchers from Brigham and Women’s Hospital, Boston. Based on this work former CSPH research fellow and lead author Dr. Zain Hashmi and senior investigator, Adil Haider, MD, MPH, recommend that states with a high prehospital death burden improve their access to care, such as by shortening patient transport times, optimizing placement of trauma centers, and by improving the quality of prehospital care. Other study investigators include Molly P. Jarman, PhD; Tarsicio Uribe-Leitz, MD, MPH; Eric Goralnick, MD, MS; Craig D. Newgard, MD, MPH; Ali Salim, MD; and Edward E. Cornwell III, MD, FACS. Read more here and here.