ATLS: fluid replacement regimen in established shock

Last reviewed 01/2018

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