For example, he noted that the American College of Surgeons' Resources for Optimal Care of the Injured  1999, which contains guidelines for the certification of trauma centers, omitted the requirement to test patients' blood alcohol content for the first time in 20 years.
The lack of testing led to more people dying of drinking too much. 
mnli hypothesis: The lack of testing led to more people dying of drinking too much.  premise: For example, he noted that the American College of Surgeons' Resources for Optimal Care of the Injured  1999, which contains guidelines for the certification of trauma centers, omitted the requirement to test patients' blood alcohol content for the first time in 20 years.