Severe Haemorrhage

Question 1

How much fluid do we give in severe haemorrhage if the patient has an inappropriate response to verbal commands?

Answer 1

Saline: 10mL/kg (max250mL) up to 20mL/kg
-aiming for appropriate responses to verbal commands

Question 2

How do we give TXA in blunt or penetrating trauma?

Answer 2

1g TXA over 2-3 mins if pt over 16 years and the injury is less than 3 hours old.
HR>120
and or
SBP <90