 The consumption of blood and coagulation products packed red blood cells, fresh frozen plasma, platelet concentrates, fibrinogen, coagulation factor concentrates, coagulation factor XIII, activated factor VII, van Willebrand factor and antifibrinolytics before and after the introduction of a designated trauma related transfusion and coagulation algorithm will be recorded and compared. The periods 2005-2007 before and 2012-2014 after the introduction are reviewed. Predicted probability of a massive transfusion by the TASH score trauma associated acute hemorrhage is correlated with the actual rate. 