Early experiences with IOTVR suggest that it is both technically feasible and valuable for capturing key intraoperative processes in trauma care. These include handoff quality, OR (operating room) readiness, and procedural execution. IOTVR provides objective, high-fidelity data that can highlight performance variability and uncover system-level challenges that may not be visible through traditional review methods. While initial studies show promise for using this approach to drive quality improvement and education, data demonstrating a direct impact on clinical outcomes remain limited.