Trauma management is a major presentation in the Royal College of Emergency Medicine (RCEM) curriculum for both adults and children due its associated morbidity and mortality. Trauma management can appear in any aspect of the Fellowship of the Royal College of Emergency Medicine (FRCEM) examination, including the short-answer question (SAQ) paper. This chapter focuses on adult trauma, in accordance with the advanced trauma life support (ATLS) guidelines. It provides information on the different aspects of trauma including that of the chest/abdomen/pelvis, in keeping with ATLS and national guidelines. In addition, this chapter highlights the criteria for imaging and management, which may appear in the SAQ paper. It also has a detailed section on head and spinal injury and is linked to current NICE guidance. Paediatric trauma is not covered in this chapter, however, as it is reviewed in Chapter 19.