What is the goal systolic pressure during fluid resuscitation?

• A. Under 90
• B. 90-100
• C. Over 100
• D. 110-120

Answer: (C)

During fluid resuscitation the aim is to restore enough blood flow to vital organs, especially the brain and heart, so tissue perfusion is maintained. Keeping the systolic pressure above 100 mmHg provides a practical balance: it helps ensure adequate cerebral and coronary perfusion while avoiding the risks of under-resuscitation, such as ongoing hypoperfusion, and without pushing the pressure too high too early in a bleeding situation. This threshold gives a clear, actionable target to guide how much fluid to give and when to adjust the plan if perfusion is not improving.