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 litres 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 Ref: schwaz's principle of surgery 10th edition Pgno :109-110,119-123
Normal saline
Ringer lactate
Sag M
Blood
General anatomy