Abstract: Disclosed is a system for medical procedure tracking, evaluation and assistance, wherein one or more video cameras, one or more acoustic sensors or one or more medical device interfaces acquire video, audio or medical device feeds from a medical treatment setting. A scene evaluation module detects scene related features in the video, audio or medical device feeds. A procedure compliance assessment module compares one or more scene related features detected and reported by the scene evaluation module to a list of expected actions or equipment usages associated with the procedure being performed in the treatment setting. A procedure assistance module provides compliance based procedure related action recommendations or instructions from within the list of expected actions or equipment usages.