Major trauma patients fare better at tertiary trauma centers due to critical interventions.

• In-hospital mortality is 5.65% at tertiary centers vs. 7.04% at non-tertiary centers (risk ratio 1.25).
• Key factors contributing to lower mortality include massive blood transfusions (45.67%) and effective hemorrhage control through laparotomy (30.13%).

Surgeons should focus on implementing these interventions to enhance patient outcomes in trauma management.

• Airway procedures also play a significant role, performed in 44.40% of cases at tertiary centers.