THE MANAGEMENT OF MASSIVE BLEEDING IN POLYTRAUMA PATIENTS

Damage Control Resuscitation (DCR): It emphasizes Permissive hypotension until bleeding is controlled, Balanced blood‑product transfusion (plasma, platelets, red cells), Restricted crystalloid use to avoid dilutional coagulopathy and Early correction of coagulopathy.

Multidisciplinary Approach: Integration of emergency medicine, surgery, anaesthesia, and intensive care teams to deliver coordinated haemostatic resuscitation tailored to patient physiology.