Havermans RJM, et al. - Given a significant reduction in mortality and length of hospital stay following the implementation of trauma systems, researchers implemented 24/7 in-hospital coverage, and performed a renovation of the trauma room to improve the trauma care. They sought to examine how the optimized in-hospital infrastructure influence the mortality, processes and clinical outcomes. They performed retrospective cohort study of prospectively collected data of all adult trauma patients admitted to their trauma center directly during two time periods (2010–2012 and 2014–2016). The analysis revealed improved survival rates in both severely injured patients as well as in the whole trauma population following optimizations of the in-hospital infrastructure related to trauma care. Implementation of 24/7 in-hospital coverage of senior clinicians (trauma surgeon, anesthesiologist, emergency physician and intensivist) is recommended for level I trauma centers. To optimize in-hospital processes, they recommend level I trauma centres to have a CT-scanner in the trauma room.