Timely initiation of emergent trauma surgery depends heavily on operating room (OR) preparedness during the transition from the emergency department, yet objective data to assess this preparedness are limited. This study used intraoperative audiovisual recordings of emergent trauma operations to evaluate variability in OR readiness prior to patient arrival. A structured data collection tool based on an institutional Trauma Anesthesia Checklist was applied to assess preparation of essential equipment and to examine whether patient hemodynamic instability influenced anesthesia team preparedness. By leveraging trauma video review, this work aimed to identify strengths and gaps in OR readiness and to explore the feasibility of video-based assessment as a quality improvement (QI) methodology.