Vol 7, No 4 (2022)
Research paper
Published online: 2022-12-21

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Tranexamic acid in polish pre-hospital emergency medicine and the competencies of medical rescue teams

Pawel Jastrzebski1, Szymon Kosiorek2, Zbigniew Adamiak3, Jadwiga Snarska1
Disaster Emerg Med J 2022;7(4):231-238.

Abstract

INTRODUCTION: Medical rescue teams (MRTs) are the basic components of the Polish Emergency Medicine System (PEMS) that provide pre-hospital emergency medical services. However, despite the possibility for paramedics to use 47 drugs and many complicated medical procedures, tranexamic acid was not found there. Efficacy of pre-hospital emergency medical services could be improved by using tranexamic acid (TXA) in the management of traumatic hemorrhage and traumatic brain injury (TBI). The aim of this study was to demonstrate that the competencies of MRTs should be expanded and that Polish paramedics should be authorized to independently administer TXA to TBI patients.

MATERIAL AND METHODS: The main research method was an analysis of the literature, including studies focusing on TXA administration and the associated risks. The article was written in the last two years.

RESULTS: The study demonstrated that TXA contributes to the effective management of selected types of hemorrhage and TBI and that the risk of adverse effects associated with TXA administration is minimal.

CONCLUSIONS: The gathered evidence suggests that paramedics should be authorized to independently administer TXA in pre-hospital care to maximize the efficacy of emergency medical services provided to patients in the PEMS.

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