Purpose of Review <p>Trauma video review (TVR) has been described in the literature for over three decades, and there has been increased growth recently due to improved access and evidence. However, problems still exist with implementation —particularly in settings without prior experience. The purpose of this review is to help lower the barrier to adoption by outlining the steps involved in implementing a TVR program. We also summarize the recent literature focused on the current applications of trauma video review including continuous quality improvement, research highlighting both technical and non-technical skills, and education of trainees.</p> Recent Findings <p>TVR supports continuous quality improvement by allowing for detailed analysis of trauma resuscitations, including in depth review of both technical and non-technical skills. Research using TVR has identified specific factors that impact team performance including communication, emergency medical services (EMS) handoffs, team size, and vascular access technique. TVR also serves as a powerful educational tool, offering coaching and feedback that supports competency-based assessment.</p> Summary <p>Implementation challenges for TVR programs exist but can be mitigated with a carefully thought-out approach based on the success of centers with existing programs. Recent evidence continues to demonstrate that TVR enhances quality improvement, procedural performance, and trainee education.</p>