Table 2.

Advanced Trauma Life Support (ATLS) guidelines 2004

• Aggressive fluid resuscitation with 2L of crystalloid solution in patients who are significantly injured or appear to be going into shock.

• Continuing this replacement until clinical signs return to normal.

• Packed red cells to be given in the following situations

○ Patients remaining in shock.

○ Patients recovering initially, but subsequently go back into shock.

○ Active ongoing bleeding >100 mL/minute.

• Plasma and cryoprecipitate to be infused after 6-10 units of PRCs are given