I am Sybille Kozek from Vienna in Austria. In hemorrhagic shock, we are dealing with absolute hypovolemia, meaning there is a true loss of circulating blood volume. Therefore, the primary target of our fluid resuscitation is the intravascular compartment.

In this context, colloids can play a role as part of a multimodal resuscitation strategy, alongside crystalloids and blood products. However, their use must be carefully balanced with an awareness of potential complications.

We must consider the coagulopathic side effects of colloids, especially in patients already at risk of bleeding, as well as the potential for fluid overload or hypervolemia, which can worsen outcomes if not properly managed.