The American College of Surgeons has listed criteria for a patient's response to initial fluid resuscitation.
Patient selection: following initial fluid resuscitation
Parameters:
(1) vital signs
(2) estimated blood loss
Vital Signs
Estimated Blood Loss
Response
normalize initially, stay stable
< 20% of blood volume
rapid (good)
initial improvement, then deteriorate
20 to 40% of blood volume
transient
no improvement
> 40% of blood volume
none or minimal (poor)
Implication
Rapid Responder
Transient Responder
Poor Response (Nonresponder)
need for more crystalloid
low
moderate
high
need for blood transfusion
low, type and crossmatch
high, emergency transfusion
need for immediate surgery
possible
probable
very likely
To read more or access our algorithms and calculators, please log in or register.
Specialty: Critical Care, Emergency Medicine
