As in most patients, the initial management revolves around evaluating and ensuring that the patient has adequate oxygenation and ventilation. The rapid infusion of isotonic crystalloids is part of the standard management after the airway is managed. Pharmacologic agents to support hemodynamics play essentially no role in the face of hemorrhagic shock. Stabilization of all long bones fractures is a secondary priority. The transfusion of uncrossmatched blood is often used in the scenario of refractory hypotension after crystalloid resuscitation.