Purpose of Review <p>This review explores avenues for mitigating disparities and maximizing outcomes in resource-constrained trauma settings.</p> Recent Findings <p>Trauma causes a significant public health burden, disproportionately affecting low- and middle-income countries and rural areas due to resource limitations and access barriers. Effective leadership, particularly transformational styles, is essential for building resilient trauma systems. Teletrauma expands access to specialized care, reducing unnecessary transfers and healthcare costs, though challenges to infrastructure remain. Strengthening trauma education through simulations, educational courses, and digital platforms enhances provider preparedness in resource-limited settings. Coordinated regional networks can improve resource allocation and response, especially during acute surges. Together, these strategies can improve trauma care equity, efficiency, and patient outcomes in under-resourced communities.</p> Summary <p>Trauma disproportionately impacts resource-constrained settings and places an undue burden on an already taxed system. Trauma leaders can improve system resilience and patient outcomes through effective leadership, enhanced education, and coordinated regional networks.</p>