Preliminary figures indicate that crash fatalities declined 3 percent in 2010 over 2009, signifying an astounding 25 percent decrease in highway deaths between 2005 and 2010, from 43,510 to 32,788. Moreover, vehicle miles traveled (VMT) last year rose 20.5 billion miles, or 0.7 percent in 2010 over 2009. If these initial figures hold, the nation’s fatality rate per 100 million VMT was 1.09 last year—compared to 1.13 in 2009 and 1.46 in 2005—and was the lowest rate recorded since 1949. Significantly, 2 of the National Highway Traffic Safety Administration’s (NHTSA’s) 10 geographic regions recorded double-digit declines in crash deaths: the Pacific Northwest states of Alaska, Idaho, Montana, Oregon, and Washington (Region 10) at 12 percent; and the western states of Arizona, California, and Hawaii (Region 9) at 10.8 percent. The obvious question now becomes this: With Americans driving more miles and with ever-shrinking budgets, can traffic deaths continue to decline? The four Es—enforcement, engineering, education, and emergency medical services—working in concert with one another offer a positive response to this question.