Quote History Originally Posted By HappyCamel:
Why is it in the combat triage literature but not used on the private side?
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In general terms it is because combat injuries usually occur in a, relatively, healthy younger demographic with a general baseline healthy outlook compared to the public population with a myriad of possible health issues not vetted during MEPS, e.g.
Studies show an increase in thromboembolic events (strokes, MI's, pulmonary emboli, etc.) in general populations.
The CRASH-2 study showed a number between 70,000 and 100,000 patients may be saved by the administration of Tranexamic Acid.
There are lab tests that can help predict the susceptibility to the embolic results but take 30 minutes at a minimum and up to 4 hours to get results.
That being said I believe there is a place for TXA to be used judiciously in the pre-hospital setting if a set of accurate guidelines can be developed.
ETA: MedicManDan who is backing your study and is the data going to be available in the near future?
I am very interested in the outcome of the study as it pertains to something I have been assigned to.