Trauma is a major health issue all over the world and is associated with a high rate of death and disability in both developed and developing countries. There has been a dramatic change in the management of trauma patients in the last two decades. The term damage control resuscitation and damage control surgery came into light during the last 20 years. Physician involvement is increased in trauma victims’ care as the physiological derangements, maintenance of hemodynamics, and infection control are equally catastrophic for the patient, so the focus is shifted to the intensive care unit (ICU) from the operating room (OR). The objective of this article is to emphasize the role and importance of trauma intensivists in the management of polytrauma patients. Trauma intensive care is a new horizon for anesthesiologists who can manage trauma in association with a trauma surgeon, and their role will increase day by day with the advancement of imaging techniques and interventional radiology. To summarize, the duties and responsibilities of a trauma intensivist start with pre-hospital care and transport to damage control resuscitation with ABC care, maintaining hemodynamic, inter-hospital transport, preparing for damage control surgery, postoperative resuscitation, respiratory support, pain management, follow-up, and rehabilitation.