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Tranexamic Acid Use in Pediatric Hemorrhagic Shock From Farm-Related Trauma: A Case Report. | LitMetric

AI Article Synopsis

  • * It emphasizes essential practices for managing hemorrhagic shock in children, such as controlling bleeding sources and quickly administering blood products.
  • * A 20-month-old boy who suffered an agricultural accident was stabilized by emergency services, including the use of a tourniquet and prehospital administration of blood products and tranexamic acid, leading to a successful recovery.

Article Abstract

This case describes the use of tranexamic acid as an adjunctive treatment in the management of a pediatric patient in hemorrhagic shock. The case also highlights other components of current best practices for hemorrhagic shock in children, including bleeding source control and prompt resuscitation with blood products. A 20-month old male suffered an agricultural accident with significant injury to the right upper extremity. This led to subsequent extremity hemorrhage and clinical evidence of hemorrhagic shock. As a result of interventions performed by emergency medical services as well as the helicopter emergency medical services team, including the application of a tourniquet, prehospital blood product administration, and tranexamic acid administration, the patient had hemodynamically stabilized by arrival at the level 1 pediatric trauma center and was neurologically intact when discharged from the hospital.

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Source
http://dx.doi.org/10.1016/j.amj.2020.06.008DOI Listing

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