Abstract
PURPOSE OF REVIEW: Motor vehicle crashes are the leading cause of death among those less than 54 years old in the United States. From the genesis of automobile transportation, significant efforts to improve crash safety technology standards and traffic laws have been made. Despite these attempts, in 2021, the motor vehicle fatality rate increased by 10.5%, leading some to question the effectiveness of recent efforts. This critical review aims to discuss the history of motor vehicle technologic and legislative advancements, data investigating effectiveness, and opportunity for future improvement. RECENT FINDINGS: Collective transition to primary seatbelt laws, advancement of airbag design, implementation of driver assist technologies, as well as stricter alcohol legislation may offer response to the recent increase in motor vehicle fatalities. SUMMARY: A coordinated effort for change from automobile manufacturers, drivers, law enforcement, and local/federal governments will be required to address the recent increase in motor vehicle fatalities.