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Surgery Trauma 9534a5b0

Patient with massive hemorrhage presents to the ER after A. What's not to be done?

A
Massive transfusion of fluid challenge
B
IV crystalloid 2L, within few minutes
C
Early tranexamic acid recommended
D
Check coagulation with thromboelastography, if available
High-Yield Explanation
- ATLS updates (2018): Give only 1 liter of warm isotonic crystalloids for adults (old edition recommended 1-2 liters of warm crystalloid solution) - ATLS updates (2018): In children <40kg, give 20ml/kg of warm isotonic crystalloids The initial resucitation with crystalloid fluid still begins with a 1 litre bolus of warmed isotonic fluid.Early control of external hemorrhage is pivotal to the management of the injured patient. Thromboelastography and rotational thromboelastometry are helpful when available to pinpoint the precise ocagulation deficiency." CRASH-2 Trial (ATLS updates 2018 ) - Use of tranexamic acid in hypotensive trauma patients

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