Intramuscular Tranexamic Acid Administration on the Battlefield.

ABSTRACT:

Background

Tranexamic acid (TXA) is routinely administered intravenously (IV) and intraosseously (IO) in response to exsanguination.

Case

This report describes a patient who sustained multiple high-powered rifle gunshot wounds that received battlefield-environment intramuscular (IM) administration of TXA due to inability to obtain IV / IO access. This case represents the unlikely positive outcome in the setting of multiple remarkable obstacles, which may have been ameliorated by novel administration of TXA.

Conclusion

Cases of IM TXA administration as a primary intervention are not well represented in the current body of medical literature. This case report highlights a clinical scenario where IM TXA was utilized as part of first-line treatment that led to a positive

SUBMITTER: Steele D 

PROVIDER: S-EPMC9584727 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature