Initial fluid resuscitation may include which of the following?

Initial fluid resuscitation may include which of the following?

• A. Infusion of warm fluids
• B. Infusion of iced fluids
• C. Oral rehydration only
• D. No IV fluids

Answer: (A)

During initial fluid resuscitation in trauma, keeping the patient warm is crucial to prevent hypothermia, which worsens coagulopathy and increases mortality in hemorrhagic shock. Infusing warmed IV fluids helps maintain core temperature and supports tissue perfusion and coagulation better than cold fluids. Cold or iced fluids should be avoided because they can lower body temperature, promote vasoconstriction, and worsen coagulopathy. Oral rehydration alone cannot rapidly restore intravascular volume in a patient with suspected severe blood loss or shock, and no IV access would delay needed resuscitation. So, infusing warmed IV fluids is the appropriate initial resuscitation step.

During initial fluid resuscitation in trauma, keeping the patient warm is crucial to prevent hypothermia, which worsens coagulopathy and increases mortality in hemorrhagic shock. Infusing warmed IV fluids helps maintain core temperature and supports tissue perfusion and coagulation better than cold fluids. Cold or iced fluids should be avoided because they can lower body temperature, promote vasoconstriction, and worsen coagulopathy. Oral rehydration alone cannot rapidly restore intravascular volume in a patient with suspected severe blood loss or shock, and no IV access would delay needed resuscitation. So, infusing warmed IV fluids is the appropriate initial resuscitation step.