Byrne JP, Nance ML, Scantling DR, et al. - Researchers intended to determine if there is an association between pediatric trauma center care and motor vehicle crash (MVC) mortality in children (< 15 years) at the US county level for 5 years (2014–2018). The exposure was defined as the highest level of pediatric trauma care present within each county: pediatric trauma center, adult level 1/2, adult level 3, or no trauma center. The NHTSA Fatality Analysis Reporting System was used to identify pediatric deaths caused by passenger vehicle crashes on public roads. Three thousand sixty-seven children died in fatal crashes during the study period. One hundred eighty-eight pediatric trauma centers were identified in 141 counties. There were significant disparities in access to pediatric trauma care. Pediatric trauma centers were found to be associated with lower rates of MVC death in children. Adult level 1/2 trauma centers seem to provide similar risk reduction. Addressing disparities in county-level access to pediatric trauma care may serve as a viable target for system-level improvement where population differences in pediatric trauma mortality are observed.