Trauma-induced coagulopathy (TIC) is a complex process of dysfunctional and/or abnormal clot function occurring in up to 25% of patients presenting with severe bleeding as a result of acute trauma. Recent literature reveals that ROTEM-based protocols or algorithms may be superior to traditional approaches aimed at managing severe bleeding and coagulopathy. The purpose of this retrospective chart review is to retrieve and analyze data regarding the use of ROTEM in relation to a ROTEM-based treatment algorithm and associated guidelines at Legacy Emanuel Medical Center (LEMC), a Level 1 Trauma Center. The overall goal of this project is to provide evidence leading to the optimization of ROTEM utilization among trauma patients.