<prompt> Immediate management of a patient with Multiple fracture and fluid loss includes the infusionNormal salineRinger lactateSag MBlood  <response>: Resuscitation following blood loss from multiple fractures begins with administration of 2-3 litres of isotonic crystalloid immediately to restore BP and peripheral circulation Lactated ringer RL solution is generally preferred over 0.9 NaCl normal saline as it is balanced salt solution and designed to mimic extracellular fluid Resuscitation with colloids is no more effective than crystalloids but is more expensive Ref: schwazs principle of surgery 10th edition Pgno :109-110,119-123 