Hemorrhagic shock

Management

If BP unrecordable, call the cardiac arrest team.

Treatment

• Stop bleeding if possible
• If still shocked despite 2L crystalloid Or present with class III/IV shock
  • Crossmatch blood (request O Rh –ve in an emergency)
• Give FFP with red cells (1 : 1 ratio)
  • Aim for platelets >100 and fibrinogen >1 (guided by results, but e.g. 1 unit of platelets and 2 units of cryoprecipitate per 6–8 units of red cells).
• Consider tranexamic acid 2g IV.
• Discuss with hematology early.