ATLS: fluid replacement regimen in established shock
Immediate fluid replacement consists of:
- 1 litre colloid and 1 litre crystalloid stat
- ask for blood - O neg or group specific
- send samples for typing / cross-match
IF CONDITION CONTINUES TO IF CONDITION CONTINUES TO IMPROVE: DETERIORATE:
- Maintenance crystalloid þ Give blood
- Monitor patient þ Give 1 litre crystalloid
- Await cross-matched blood þ Give blood
- Identify bleeding source
- Transfer to theatre
ALL FLUIDS, ESPECIALLY BLOOD, SHOULD BE WARMED
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