Back Ground: Trauma care involves the entire spectrum of care from the first responderrnthrough rehabilitation. The original aim of the trauma team is to reduce the second peakrnof the trimodal distribution of death following trauma, by appropriately managingrncorrectable disturbances to the airway, breathing and circulation, if well implemented,rnis predicted to reduce preventable deaths by 42%. The initial responsibility is airwayrnmanagement; securing a compromised airway with a definitive airway device may be arnpriority, usually requiring intubation with rapid sequence induction of anesthesia withrnmanual in-line stabilization of the cervical spine, provision of analgesia andrnresuscitation both inside and outside the hospital. Anesthetists practice in a variety ofrnsettings and one of the most challenging is the trauma set ups and emergency roomsrnand the setting in which the anesthetists practice may influence the skills neededrnbecause of many factors.rnObjectives: -Assessing the anesthetists involvement in trauma care management atrntrauma set ups and emergency rooms and affecting factors at Public Hospitals in AddisrnAbaba.rnMethods-institutional based cross sectional study was conducted on all eligiblernAnesthetists working at six randomly selected Public Hospitals in Addis Ababa fromrnJan 1, to Mar 30, 2017 GC. Data was collected using structured questionnaire and datarnentry and analysis was done with SPSS version 20.rnResult- A total of 57 respondents were surveyed with response rate of 100%. Of thernrespondents (n = 57), 16 (28.1%) of were involved in trauma set ups and ER, 41rn(71.9%) were not. Of the 16 respondents involved in trauma set ups and ER 7(43.8%)rnwere involve daily, 6(37.5%) weekly and about 3 (18.8%) reported involved at leastrnonce per month. Among the 16 respondents involved 10(62.5%) were participating inrnairway management, 5(31.3%) were in sedation and 1(6.2%) in peripheral nerve block.rnConcerning those who were not involved (n=41), 14(34.1%) were due to inadequaternresources supply in their setups,8(19.5%) poor teamwork communication andrncoordination between the staffs,8(19.5%) lack of knowledge , 7(17.1%) shortage ofrnmanpower and 4(9.8%) was because of administrative problems.rnConclusion and recommendations- The results indicated that 71.9% of thernanesthetists remain unable to involve in trauma care management at trauma set ups andrnemergency rooms. Inadequate resources supply (34.1%); poor teamworkrncommunication and coordination between the staffs, shortage of manpower and to somernextent administrative problems were among the most affecting factors for involvementrnin trauma set ups in this research finding. we suggest to the concerned bodies to fulfillrnnecessary materials to the hospitals and open opportunity for educational developmentrnand refresher training for the anesthesia professionals.