We've talked about it before, but let's see what the CoTCCC has to say about TXA:
This is current as of 31JAN2017. Anything stand out to you? Why is this treatment so important?
c. Tranexamic Acid (TXA)
If a casualty is anticipated to need significant blood transfusion (for example: presents with hemorrhagic shock, one or more major amputations, penetrating torso trauma, or evidence of severe bleeding): ⁃ Administer 1 gm of tranexamic acid in 100 ml Normal Saline or Lactated Ringer’s as soon as possible but NOT later than 3 hours after injury. When given, TXA should be administered over 10 minutes by IV infusion.
Begin the second infusion of 1 gm TXA after initial fluid resuscitation has been completed. #prolongedfieldcare #tacmed #combatmedic #TCCC #cotccc