In the Advanced Trauma Life Support (ATLS) protocol, the “C” signies “Circulation,” high­lighting its pivotal role in managing a patient’s cardiovascular system during trauma care [5]. Swift and precise assessment of circulatory status is paramount, as inadequate perfusion can lead to life-threatening complications. Healthcare pro­viders concentrate on evaluating critical parame­ters, including blood pressure, heart rate, capillary rell time, and overall hemodynamic stability. Identifying and controlling sources of blood loss are of paramount importance during this phase. External blood loss can be readily detected through observation and physical examination, with common external bleeding sites including long-bone fractures and scalp lacerations. On the other hand, internal blood loss can be more chal­lenging to pinpoint. To aid in diagnosis, chest X-rays can be used to assess intrathoracic hemor­rhage, and a focused assessment with sonography (FAST) examination can provide valuable infor­mation, although it may not entirely rule out internal bleeding. In cases where signicant blood loss is suspected, initiating a balanced transfusion of packed red cells, fresh frozen plasma, and platelets at a 1:1:1 ratio as soon as possible has been shown to improve outcomes compared to crystalloid resuscitation [11, 12]. Hemostatic resuscitation studies reported the ratio for platelets in pooled packs. It is important to note that platelet volume nomenclature has changed to platelet units which are equivalent to 6 platelet packs, as to reduce confusion, the actual transfusion ratio should be 6:1:6. More