What is the most appropriate fluid for initial resuscitation of a patient in haemorrhagic shock from trauma, after the first 1 litre crystalloid?
Answer and explanation
Correct answer: D. Blood products in a balanced ratio
- Step 1: Massive bleeding needs red cells, plasma and platelets.
- Step 2: Large crystalloid volumes worsen the lethal triad.
Answer
Blood products in a balanced ratio.
Why not the others: 'More normal saline by rapid infusion' dilutes clotting factors and worsens acidosis; 'Dextrose 5% in water by infusion' does not stay in the vascular space; 'Oral rehydration' is not suitable.
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