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221

EMR

EMT

AEMT

Paramedic

Extended

Tranexamic Acid (TXA)

Action

Onset

Antifibrinolytic

Immediate

3 hour half-life

Indications

Multisystem trauma with internal hemorrhage

Adult Dose

1 g mixed in 50 mL IV bag connected to 10 gtts/mL administration set, and administer over 10 minutes (1 drop

per second)

Pediatric Dose

Not indicated.

Contraindications

Isolated traumatic brain injury, more than 3 hours since injury, patients < 15 years of age, nontraumatic shock

Adverse Reactions

Hypersensitivity

Precautions

Monitor for symptoms of severe allergic reaction and changes in vision

Tranexamic Acid (TXA)