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The article discusses the implications of traumatic injuries at a secondary care base hospital in Sri Lanka, highlighting the critical need for a major system change to save more lives. The study reveals that traumatic injuries are a leading cause of hospitalization and in-hospital mortality in Sri Lanka, with significant financial and clinical implications. The lack of awareness and deficiencies in trauma care, including weak prehospital resuscitation and health economics, are major challenges in the region. The authors suggest the development of a trauma system, a dedicated trauma care hospital network, and a trauma registry to improve the quality of care and minimize major trauma disability in Sri Lanka. [Extracted from the article]