What is the third most preferred resuscitation fluid for casualties in shock?

The third most preferred resuscitation fluid for casualties in shock is plasma, red blood cells, and platelets in a 1:1:1 ratio. This combination reflects a more contemporary approach to managing hemorrhagic shock, especially in the tactical setting where rapid transfusion therapy can be critical.

Using this balanced resuscitation strategy is advantageous because it helps to restore not only the volume of blood but also critical clotting factors that are lost during trauma. When patients experience severe bleeding, their bodies lose not just red blood cells but also important components such as platelets and coagulation factors found in plasma. Administering these components in a balanced ratio has been shown to improve outcomes by reducing coagulopathy and preventing further bleeding.

Maintaining optimal hemostatic capabilities is crucial during resuscitation, particularly in combat or emergency situations, where the risk of trauma-induced coagulopathy is high. Therefore, this approach is favored as it supports both resuscitation and hemostasis, aligning with the goals of Tactical Combat Casualty Care, which prioritize stabilizing the patient while addressing potential life-threatening conditions.