Tranexamic acid in trauma — DipIMC MCQ

Correct answer: B — Give tranexamic acid 1 g intravenously as soon as possible

Give tranexamic acid 1 g intravenously as soon as possible is the best answer because TXA is indicated early in major trauma with suspected significant haemorrhage, ideally within three hours. Withhold the drug until laboratory confirmation is available is less appropriate because waiting for tests delays time-critical pre-hospital treatment; Give intramuscular morphine 20 mg as a fixed dose is less appropriate because fixed intramuscular opioid dosing is poorly titratable. Give nebulised salbutamol as first-line trauma therapy and Give oral medication and reassess at hospital are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: NICE Major Trauma NG39; JRCALC Guidelines; ATACC Manual