RT Book, Section A1 Haché, Manon A2 Houck, Philipp J. A2 Haché, Manon A2 Sun, Lena S. SR Print(0) ID 1105553643 T1 MASSIVE TRANSFUSION T2 Handbook of Pediatric Anesthesia YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-176935-8 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1105553643 RD 2024/10/10 AB An 11-year-old, 30-kg patient presents to the operating room emergently after being hit by a car. He was unconscious at the scene and intubated. He was volume resuscitated and so far has received 40 mL/kg of lactated Ringer’s and 2 units of blood. He remains hemodynamically unstable (heart rate 130, blood pressure 80/35) and has a positive focused assessment with sonography for trauma exam. His head CT scan reveals diffuse edema with no focal bleeding. His cervical spine CT is unremarkable, and he remains in a cervical collar. The plan is to do an exploratory laparotomy for control of bleeding.