Video-recorded trauma resuscitations have been used to evaluate patient care and staff performance in a pediatric trauma center. Incorporated into a continuous quality improvement program, the effort has been successful in identifying patient care on a case-by-case basis that has or has not met preestablished standards. It has been used to identify noteworthy actions by the medical, nursing, and ancillary staff and to recognize any other problems that affect patient care. The program is an example of a successful continuous quality improvement program.