TY - JOUR T1 - Tranexamic acid use in severely injured patients, is it always appropriate? JO - Revista Española de Anestesiología y Reanimación (English Edition) T2 - AU - Duque,P. AU - Gonzalez-Zarco,L. AU - Martínez,R. AU - Gago,S. AU - Varela,J.A. SN - 23411929 M3 - 10.1016/j.redare.2020.06.016 DO - 10.1016/j.redare.2020.06.016 UR - https://www.elsevier.es/en-revista-revista-espanola-anestesiologia-reanimacion-english-444-articulo-tranexamic-acid-use-in-severely-S2341192921000706 AB - Recently, it has been suggested that tranexamic acid should be administered only in those patients with hyperfibrinolysis determined using viscoelastic assays, as severely injured patients may present with fibrinolytic shutdown. However the last European guidelines on management of major bleeding and coagulopathy following trauma endorse the use of tranexamic acid to the trauma patient who is bleeding or at risk of significant hemorrhage as soon as possible without waiting for viscoelastic results. We present a severely blunt trauma patient treated with on-scene administration of tranexamic acid that developed immediate pulmonary embolism. ER -