• Crit Care · Jul 2014

    Review Comparative Study

    Tranexamic acid in pediatric trauma: why not?

    • Suzanne Beno, Alun D Ackery, Jeannie Callum, and Sandro Rizoli.
    • Crit Care. 2014 Jul 2; 18 (4): 313313.

    AbstractTrauma is a leading cause of death in pediatrics. Currently, no medical treatment exists to reduce mortality in the setting of pediatric trauma; however, this evidence does exist in adults. Bleeding and coagulopathy after trauma increases mortality in both adults and children. Clinical research has demonstrated a reduction in mortality with early use of tranexamic acid in adult trauma patients in both civilian and military settings. Tranexamic acid used in the perioperative setting safely reduces transfusion requirements in children. This article compares the hematologic response to trauma between children and adults, and explores the potential use of tranexamic acid in pediatric hemorrhagic trauma.

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