Injuries are a major of cause of death and disability in the young. The advanced trauma management in the acute trauma cases is an important clinical practice to decrease the mortality. The Advanced Trauma Life Support (ATLS) course teaches a systematic, concise approach to the early care of the trauma patient in America. The ATLS course is vital to administering care for the injured patient in emergency department trauma rooms. The program has been adopted worldwide in over 60 countries, especially outside North America. The purpose of ATLS course is to orient physicians to the initial immediate assessment and resuscitation of the injured patient. The content and skills presented by the materials are designed to assist physicians in providing the first hour of emergency care for trauma patient. It is time to set up the guideline of advanced trauma management and adopt a standard training program which aligns more precisely with practice and needs of Korean doctors.