Prioritized response; patient assessment and management; and safe, timely transport of the severely injured, multisystem blunt trauma patient to a designated trauma center within an organized regional trauma system is correlated with significantly improved patient outcomes. While some emergent interventions may be necessary or life-sustaining en route to a trauma center, in most cases they are not a priority at the scene. Educating EMS clinicians to apply critical thinking to promote maintenance of oxygenation and adequate ventilation, maintain organ perfusion and limit secondary injury, manage pain, frequently reassess the patient, and promptly transport to the appropriate level trauma facility are all critical to optimizing outcome of the blunt trauma patient. Proactive medical oversight aligns patient and system needs through use of evidence-based treatment protocols and application of field triage criteria to appropriately direct patient destination.