Immediate management of a patient with Multiple fracture and fluid loss includes the infusion -

• Resuscitation following blood loss from multiple fractures begins with administration of 2-3 liters of isotonic crystalloid immediately to restore BP and peripheral circulation. • Lactated ringer (RL) solution is generally preferred over 0.9% NaCl (normal saline) as it is balanced salt solution and designed to mimic extracellular fluid. • Resuscitation with colloids is no more effective than crystalloids but is more expensive.