Indication

Tranexamic Acid for Trauma / hemorrhage

161 sources134 named agencies44 statesas of 2026-10-31

Adult dosing has a median of 1000 mg across 158 published protocols, with the middle half between 1000 and 2000.

161sources

134named agencies

44states

267entries

132named here

Includes 2 agencies 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

158sources

132named agencies

44states

186entries

0kept as written

min	p25	median	p75	max
500	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 55%
IV 36%
NEB 3%
IM 2%
TOP 2%
IN/TOP 1%
TD 1%

United States EMS Protocol Census, n=158 protocols from 132 named agencies / 44 states, updated Oct 2026

Pediatric, weight-basedmg/kg

58sources

50named agencies

23states

64entries

0kept as written

min	p25	median	p75	max
10	15	15	15	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 61%
IV 33%
NEB 5%
IN/TOP 2%

United States EMS Protocol Census, n=58 protocols from 50 named agencies / 23 states, updated Oct 2026

Pediatricmg

12sources

8named agencies

8states

13entries

0kept as written

min	p25	median	p75	max
500	1000	1000	1250	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 46%
IV 39%
NEB 15%

United States EMS Protocol Census, n=12 protocols from 8 named agencies / 8 states, updated Oct 2026

Adult, weight-basedmg/kg

3sources

2named agencies

1states

3entries

0kept as written

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 2 named agencies / 1 states, updated Oct 2026

AdultmL

1sources

1named agencies

1states

1entries

0kept as written

Below 5 sources, so no distribution is published for this group — only the counts above.

Routes

TOP 100%

United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026

Named agencies with a page132

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