Calculation of Blood Loss and Fluid Replacement for Four States of Hypovolemic Shock from Hemorrhage Class I Up to 750

mL Up to 15% < 100 Normal Crystalloid Mild Shock State Class II 750-1500 mL 15% - 30% >100 Normal Crystalloid Moderate Shock State Class III 1500 2000 mL 30% - 40% >120 Decreased Crystalloid and blood Severe Shock State Class IV 2000 mL or more 40% or more >140 Decreased Crystalloid and blood Severe Shock State

Blood loss (mL) Blood loss (%BV) Heart rate Blood pressure Fluid replacement (3:1 rule)