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.
3. Blood pressure cuff; adult up to 250mmHg, child 100-200mmHg
4. LA with lignocaine+adrenaline
6. Topical TXA “hey”
7. Topical thrombin (we don’t have it)