Dilutional Coagulopathy
n 72 kg Adult trauma victim
n 5 litre whole blood volume
n Pre-trauma haematocrit 45%
n Initial plasma volume 5000 ml x (100-45)
= 2750 ml plasma
n Haemorrhage of 60% of whole blood
volume
n Represents loss of:   5000 x 0.6 x (100-
45) plasma = 1650 ml plasma
n = 8 units of FFP - but...