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Medication

Tranexamic Acid in US EMS protocols

199protocols
164named agencies
49states and regions
8indications
657dose entries
100% of 657machine-parsed

Includes 4 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Allergic reaction AdultMost use 1000 mg range 1000 to 2000 mg, n=10
Head injury / TBI Adult1000 to 2000 mg median 2000, n=12
Pediatric, weight-based15 to 30 mg/kg median 15, n=7
Obstetric hemorrhage Adult750 to 2000 mg median 1000, n=61
Pediatric, weight-based15 to 30 mg/kg median 20, n=7
Other Adult500 to 2000 mg median 1000, n=94
AdultMost use 1 mL range 0.5 to 2.5 mL, n=5
Pediatric250 to 750 mg median 500, n=11
Pediatric, weight-basedMost use 15 mg/kg range 10 to 30 mg/kg, n=33
Trauma / hemorrhage Adult500 to 2000 mg median 1000, n=158 median matches NAEMSP
Pediatric500 to 2000 mg median 1000, n=12
Pediatric, weight-basedMost use 15 mg/kg range 10 to 30 mg/kg, n=58

Too few protocols to chart yet (protocols in brackets): Crush injury (1), Hypotension / shock (1), Traumatic arrest (3)

Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.

Named agencies with a page161

Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.

Cite this

United States EMS Protocol Census, Tranexamic Acid: n=199 protocols from 164 named agencies / 49 states, as of 2026-10-31

MethodologyData licenseStudy your own protocol in the app

Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.