Tranexamic Acid for Obstetric hemorrhage
Adult dosing has a median of 1000 mg across 61 published protocols, with the middle half between 1000 and 2000.
Includes 1 agency outside the US.
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 750 | 1000 | 1000 | 2000 | 2000 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 54%
- IV 45%
- IM 2%
United States EMS Protocol Census, n=61 protocols from 49 named agencies / 31 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 15 | 15 | 20 | 20 | 30 |
Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 100%
United States EMS Protocol Census, n=7 protocols from 6 named agencies / 4 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO 100%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 3 states, updated Oct 2026
Adult, weight-basedmg/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV 50%
- IV/IO 50%
United States EMS Protocol Census, n=2 protocols from 1 named agencies / 2 states, updated Oct 2026
Named agencies with a page49
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Alabama Department of Public Health Office of Emergency Medical Services
- Anderson County Emergency Medical Services
- Arizona Department of Health Services
- Aurora Fire Rescue
- BC Emergency Health Services
- Brunswick County EMS
- Central Arizona Regional EMS
- Chelan/Douglas/Okanogan/Grant County
- Clark County EMS System
- Clark County EMS (Washington)
- Coastal Valleys EMS Agency
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of San Diego Emergency Medical Services
- Davidson County Emergency Services
- Daviess County EMS
- Department of Health Services, County of Los Angeles
- El Campo Emergency Medical Service
- Escambia County Emergency Medical Services
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Giles County EMS
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Houston Fire Department
- Illinois Region VIII Emergency Medical Services
- Kern County Public Health
- Kosciusko County Paramedics
- Lincoln County EMS
- Louisville Metro EMS
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northeastern Montana Stat Air Ambulance Cooperative
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- REMSA
- REMSA Sioux Falls
- County of Riverside EMS Agency
- Rowan County Emergency Services EMS Division
- Salt Lake County EMS
- Stanislaus County Emergency Medical Services Agency
- Thurston County Medic One
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Virgin Islands Fire & Emergency Medical Services
- Weber County Paramedic Program