**4. Fluid resuscitation**

Rapid infusion of large amounts of crystalloids may disrupt the formation of the soft clot and dilute the clotting factors, leading to increased bleeding. Attempts to make the patient normotensive are not recommended. A more reasonable goal may be to obtain systolic blood pressure of 80–90 mmHg, or a mean arterial pressure of 70 mmHg. Crystalloids remain firstline fluids, followed by infusions of packed red blood cells [10].
