This will be a presentation that focuses on the unique aspects of trauma care in an emergency response system. Topics will include assessment considerations that are unique for the trauma patient. We will focus on recognition and management of hemorrhage to include a balanced resuscitation approach which is guided by thromboelstagraphy. Medication used in the management of bleeding will be reviewed. We will cover treating the trauma patient who is on anticoagulants and medication adjuncts used in the management. We will review what criteria should be considered when determining the level of care a patient needs when a rapid response is called. We will conclude with a case study that will allow an opportunity to review the concepts presented in a patient scenario.