this panel conclude that spontaneous hemostasis and long-term survival were maximized by reduced administration of resuscitation fluids during the period of active bleeding while seeking to keep perfusion only above the threshold for ischemia.
in another study The authors concluded that administration of fluids to an actively hemorrhaging patient should be titrated to specific physiologic end points, with the anesthesiologist navigating a course between the risk of increased hemorrhage and hypoperfusion.
