Trauma

70.0 kgHome

Initial crystalloid

20 mL/kg
1000 mL

Move to blood after 20-40 mL/kg

Massive transfusion (1:1:1)

pRBC700 mL
FFP700 mL
Platelets700 mL
TXA load1000 mg over 10 min
TXA infusion125 mg/hr × 8 hr

Pain / RSI

  • Fentanyl

    Analgesia/sedation

    IV
    Dose
    0.070 mg
    Volume
    1.40 mL
    IV slow push• 50 mcg/mL• 0.001 mg/kg

    1 mcg/kg = 0.001 mg/kg

  • Ketamine (RSI)

    Induction agent (esp. shock/asthma)

    IV
    Dose
    140 mg
    Volume
    2.80 mL
    IV push• 50 mg/mL• 2 mg/kg

  • Rocuronium

    Paralytic - non-depolarizing

    IV
    Dose
    84.0 mg
    Volume
    8.40 mL
    IV push• 10 mg/mL• 1.2 mg/kg

    1-1.2 mg/kg IV (1.2 mg/kg preferred for RSI). Onset 1-3 min, lasts 30 min.

Pediatric C-spine (PECARN)

Low risk if NO: AMS, focal neuro deficit, neck pain, torticollis, substantial torso injury, predisposing condition, diving, high-risk MVC.