Tranexamic Acid: What You Should Know
Trauma can be messy. The scene after a good trauma case is most likely littered with empty bags of crystalloid and the plastic wrappers of dressings and IV catheters. And blood. Lots of blood. For severe trauma patients that make it to a trauma center, exsanguination is a common cause of death. What else can be done beyond direct pressure, hemostatic gauze, and early tourniquet application (assuming the injury is even in a tourniquet-able location)? How can a patient be resuscitated without fluid boluses that turn their blood to Kool-Aid on your ambulance floor?
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