Major Trauma – Injuries by Assault
Don't Forget the Bubbles
FEBRUARY 5, 2025
In the bleeding trauma patient, fluid resuscitation aims to avoid the diamond of death (acidosis, coagulopathy, hypothermia and hypocalcaemia). When blood products are available, evidence suggests using a balanced approach, transfusing a 1:1:1 FFP:platelets:pRBC ratio. These should be given as boluses of 5-10ml/kg. General Medical Council.
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