Tranexamic acid (TXA)
From Guide to YKHC Medical Practices
DOSING
2 grams slow IV/IO push within 3 hours of injury.[1]
DISCUSSION
In the fall of 2020 the United States Department of Defense (DOD) Committed on Tactical Combat Casualty Care (CoTCCC)[2] updated the Tactical Combat Casualty Care (TCCC) guidelines to specify TXA dosing of 2 grams slow IV/IO push.[3]
Trauma involving life-threatening hemorrhage in the YK Delta, particularly when managed in village clinics, occurs in a context with substantial similarities to the military battlefield. For example: blood supplies are limited (or nonexistant), transport times are long, the number of persons carrying for the patient are limited, etc.
REFERENCES
- ↑ Drew B, Auten JD, Cap AP, et al. The Use of Tranexamic Acid in Tactical Combat Casualty Care: TCCC Proposed Change 20-02. J Spec Oper Med. 2020;20(3):36-43. https://www.jsomonline.org/AllArticles.php#Article1037
- ↑ Committee on Tactical Combat Casualty Care (CoTCCC) - Joint Trauma System. Accessed November 23, 2021. https://jts.amedd.army.mil/index.cfm/committees/cotccc
- ↑ TCCC Guidelines. Deployed Medicine. Published November 5, 2020. Accessed November 23, 2021. eBook PDF
