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1879 Anaesthesia

A victim of blunt abdominal trauma has splenic and liver lacerations as well as an unstable pelvic fracture. He is hypotensive and tachycardic with a hea rate of 150 despite receiving 2 L of crystalloid en route to the hospital. He was intubated prior to arrival due to declining mental status. He is taken emergently to the operating room for exploratory laparotomy and external fixation of his pelvic fracture. Which of the following is the best resuscitative strategy?

AInfusion of another liter of crystalloid
BInfusion of 500 mL of 5% albumin
CInfusion of packed red blood cells followed by fresh-frozen plasma and platelets as indicated by the PT and platelet counts on laboratory values
DInfusion of packed red blood cells and early administration of fresh-frozen plasma and platelets prior to return of laboratory values
Anaesthesia
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