This section outlines the essential requirements for managing trauma patients in ICUs across Europe. It emphasizes the need for ICU accreditation at the highest national level and highlights criteria, including staffing, equipment, training programmes, protocols, and documentation for quality control. Key requirements encompass 24/7 admission capability, trained staff, multidisciplinary rounds, specialised observation beds, organ donation programmes, and participation in trauma resuscitations and hospital disaster planning. Desirable criteria, such as education, research activities, trauma protocol development, cross-rotation training, outreach services, and combined team training are also discussed, focused on fostering collaboration between trauma and intensive care services to ensure comprehensive trauma management.