Q. A 28-year-old woman with splenic rupture and bilateral femoral fractures following a car accident was admitted to the hospital and underwent surgery for splenectomy and internal fixation of both femurs. The surgery finished 2 hours ago, and she is now in ICU. She received 14 units of packed red cells during the resuscitation and surgeries. She has blood oozing from her surgical wounds. The abdomen is soft. Distal pulses are full and symmetric. The blood pressure is 95/63 mmHg, pulse rate is 102/min, and respiratory rate is 17/min. The lab tests in ICU show hemoglobin 9.8 g/dL, platelet count 74,000/microL, PT 24 sec, aPTT 63 sec, fibrinogen, 120 mg/dL (normal 150–350 mg/dL), and calcium 8.1 mg/dL. What is the best plan for controlling the blood oozing from her wounds?