A 3-year-old male presents with a gun-shot wound to the abdomen. He has an ongoing coagulopathy, requiring the administration of a large volume of blood products. You send blood for rotational thromboelastometry (ROTEM). Below are your results, notable for a FIBTEM test with a maximal clot firmness less than 5mm.


Figure 1: ROTEM Tracings, adapted from Critical Care Now¹


What treatment is MOST appropriate to improve this patient’s coagulopathy based on the ROTEM tracing?