Trauma is among the leading causes of mortality in all age groups all over the world, mainly affecting the young and most productive persons of the society. Trauma critical care is a specialized discipline with expertise in managing these patients. Preparation triage, rapid primary survey, resuscitation of vital functions, detailed secondary survey and definitive care are an ongoing process of trauma care to diagnose and manage injuries and their complications. Rehabilitation is a crucial component of trauma care which should start in the ICU and continue for as long as it is beneficial after discharge from ICU. Continuum of care is provided in ICU; trauma critical care physician playing an important role. The aim of management in ICU is to identify and treat physiologic derangements in various organ systems. A large percentage of brain dead patients are represented by trauma patients in a trauma ICU. They contribute to a large pool of potential organ donors.