The article reviews the paradigm shift in the perception of traumatic cardiac arrest (TCA), moving from a belief in its futility to a more optimistic outlook, particularly in selected cases. The focus is on rapidly and aggressively treating common, potentially reversible causes of TCA, such as hypovolemia, oxygenation impairment, tension pneumothorax, and cardiac tamponade. Advances in diagnostics and therapy are ongoing but have not always translated into improved outcomes. The article discusses the epidemiology, etiology, and outcomes of TCA, highlighting the importance of early and effective treatment. It also addresses the challenges in managing TCA, including airway management, breathing, circulation, and disability, and emphasizes the role of point-of-care ultrasound (POCUS) in diagnosis and treatment. The article concludes by emphasizing the need for further research to improve outcomes in this often young and previously healthy patient population.The article reviews the paradigm shift in the perception of traumatic cardiac arrest (TCA), moving from a belief in its futility to a more optimistic outlook, particularly in selected cases. The focus is on rapidly and aggressively treating common, potentially reversible causes of TCA, such as hypovolemia, oxygenation impairment, tension pneumothorax, and cardiac tamponade. Advances in diagnostics and therapy are ongoing but have not always translated into improved outcomes. The article discusses the epidemiology, etiology, and outcomes of TCA, highlighting the importance of early and effective treatment. It also addresses the challenges in managing TCA, including airway management, breathing, circulation, and disability, and emphasizes the role of point-of-care ultrasound (POCUS) in diagnosis and treatment. The article concludes by emphasizing the need for further research to improve outcomes in this often young and previously healthy patient population.