Traumatic Hemorrhagic Shock - Trauma

Question 1

In traumatic hemorrhagic shock what is an acceptable MAP and SBP target?

Answer 1

MAP 60
SBP 90
- If TBI present a MAP of >80 may be required for CNS perfusion

Question 2

What blood products should be considered in traumatic hemorrhagic shock as per the MDSO?

Answer 2

Consider 1-2 units of PRBC and 1-2 units of FFP prn for MAP of <65 (yes, less than 65)

Question 3

What’s the recommended fluid bolus for traumatic hemorrhagic shock?

Answer 3

20 mL/kg NS or Ringers Lactate (warmed) remembering to achieve a MAP of <65

Question 4

What’s the dosing of TXA in the traumatic hemorrhagic shock MDSO, and how long after a trauma can it be administered?

Answer 4

TXA: 1g IV over 10 minutes, admin. within 3 hours of the injury