Tranexamic Acid - there’s new life in the old drug

Over the last 15 years, there has been an explosion in the use of tranexamic acid (TXA) in emergency and surgical care (with publications about TXA increasing from about 50 a year before 2010 to 340 in 2015). With rapidly changing evidence, it can be difficult for emergency physicians to judge both ‘who’ and ‘when’ to treat, but current use of TXA may be too late to be effective.[Opening paragraph]