Role of TXA in laceration wound.

Doc: “Hey we got bleeding laceration wound”

TXA: “can I help?”

Doc: “sure, wait for your turn”

Topical tranexamic acid (TXA) has been demonstrated in multiple studies to be effective in hemorrhage control. An excellent Cochrane review article by Ker et al. evaluated these studies and their positive findings of topical TXA in the cessation bleeding.

Hemorrhage control step:

1. Direct pressure 5-15 minutes.

2. Tourniquet

3. Blood pressure cuff; adult up to 250mmHg, child 100-200mmHg

4. LA with lignocaine+adrenaline

5. Suture

6. Topical TXA “hey”

7. Topical thrombin (we don’t have it)

Ref:

http://www.emdocs.net/bleeding-hand-wounds/

https://www.aliem.com/2016/02/trick-trade-topical-tranexamic-acid-paste-hemostasis/

https://www.ncbi.nlm.nih.gov/m/pubmed/17212738

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s