Progressive hypovolemia leading to shock after continuous hemorrhage and 3:1 crystalloid replacement

Dogs subjected to arterial hemorrhage and infused with 3:1 volumes of lactated Ringer's solution became progressively hypovolemic, to the point of frank shock. Stability and normovolemia were restored only after additional fluid delivery, in a net ratio of 8:1. These were the mathematically predicted values that satisfied Starling's hypothesis.