Given that TXA is shown to be beneficial for PPH, is there any place for it in the prehospital setting given oxytocin, bimanual compression/massage have all been given/attempted and bleeding is still present?
1 Answers
Thank you for your question. With PPH much like any massive hemorrhage protocol, TXA is of a benefit in the hemorrhaging post partum patient, especially when you have reached the limit of your interventions. There is definitely a role in the prehospital world and is something which is happening with Ornge Air Ambulance. Paramedics should patch to the BHP for TXA consideration in PPH if other methods of PPH Management are ineffective.
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