Fluids management

Our system assumes that an individual with full blood volume intact has 6 litres of blood, the current amount of blood loss is shown on the medical menu at all times, if relevant.

• Lost some blood
  • the patient has lost up to 0.9 litres of blood
  • the patient does not suffer significantly from the blood loss itself
• Lost a lot of blood
  • the patient has lost between 1.0 and 1.8 litres of blood
  • should the patient bleed and/or fall unconscious
  • the blood loss might prevent reawakening
• Lost a large amount of blood
  • the patient has lost between 1.9 and 2.4 litres of blood 
  • it is unlikely that the patient is conscious
  • the patient will not reawaken until blood volume is restored
  • in case of cardiac arrest, resuscitation is possible but difficult
• Lost a fatal amount of blood
  • the patient has lost more than 2.4 litres of blood
  • likely to suffer cardiac arrest due to blood loss
  • resuscitation is impossible until blood volume is at least partially restored

• Attach an IV bag to one of the patients limbs or an IO needle to give them blood.
• Do not attach the bag to a limb with a tourniquet applied
• Do not give more blood than needed, to prevent the blood pressure from becoming too high

• Use IO needles to enable fluid and medication administration through a patients chest 
• When IV needles are not an option.
• Keep in mind IO needles cause pain to the patient

• Use a field blood transfusion kit to take 250ml of blood from a donor
• The donor has not lost a large or fatal amount of blood
• Only transfuse blood when no other source of blood is available
• You need space in your inventory

• Administer norepinephrine to
  • slow down bleeding
  • slow down transfusion speed
• Limit frequency of consumption to no more than 12 times every 6 minutes to avoid overdosing
• Be aware of side effects:
  • an increase in heart rate
  • an increase in blood pressure

• Administer phenylephrine to:
  • slow down bleeding more than norepinephrine Use norepinephrine to slow down bleeding FM/BS-363
  • slow down transfusion speed more than norepinephrine
• Limit frequency of consumption to no more than 6 times every 6 minutes to avoid overdosing
• Be aware of side effects:
  • a decrease in heart rate
  • an increase in blood pressure

• Administer nitroglycerin to speed up transfusions
• Limit frequency of consumption to no more than 6 times every 6 minutes to avoid overdosing
• Be aware of side effects:
  • faster bleeding
  • an increase in heart rate
  • a decrease in blood pressure