Prehospital use of tranexamic acid for hemorrhagic shock in primary and secondary air medical evacuation.

Introduction: Major hemorrhage remains a leading cause of death in both military and civilian trauma. We report the use of tranexamic acid (TXA) as part of a trauma exanguination/massive transfusion protocol in the management of hemorrhagic shock in a civilian primary and secondary air medical evacuation (AME) helicopter EMS program.

Methods: TXA was introduced into our CCP flight paramedic program in June 2011.