A 35-year-old man is admitted to ICU following a blast injury with bilateral lower limb amputations. He is at high risk of acute traumatic coagulopath...

Question

A 35-year-old man is admitted to ICU following a blast injury with bilateral lower limb amputations. He is at high risk of acute traumatic coagulopathy. Which of the following is the most appropriate empirical use of tranexamic acid in this context?

Accepted Answer

Tranexamic acid 1 g IV within 3 hours of injury, followed by 1 g over 8 hours

Answer

Tranexamic acid 2 g IV bolus immediately on arrival regardless of time from injury

Answer

Tranexamic acid only if TEG/ROTEM shows hyperfibrinolysis

Answer

Tranexamic acid is contraindicated in traumatic haemorrhage

Answer

Tranexamic acid 1 g orally

uk-fficm MCQ (SBA): Traumatic Haemorrhage

A 35-year-old man is admitted to ICU following a blast injury with bilateral lower limb amputations. He is at high risk of acute traumatic coagulopathy. Which of the following is the most appropriate empirical use of tranexamic acid in this context?