Management of hemorrhagic shock when blood is not an option

ObjectiveTo describe an alternative approach to management of severe life- threatening hemorrhagic shock and the outcome when blood was not a treatment option.DesignCase Report of the use of a Hemoglobin Based Oxygen Carrier (HBOC-201)when control of hemorrhage and intravenous crystalloids were unsuccessful in reversal of hemorrhagic shock and progressive ischemia.SettingTrauma Center.PatientsJehovah's Witness.OutcomeHospital discharge and 6 month follow-up uneventful.