Evidence map›Paper›PMID 39884843›Full record

ArticleEmergency medicine journal : EMJ2025

Oral tranexamic acid for immediate use in major trauma: implications for mass casualty events.

Matthew Warner, Jonathon Lowe, Ed Benjamin Graham Barnard

Abstract read
In one paragraph

Article in Emergency medicine journal : EMJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Matthew WarnerEmergency Department, British Antarctic Survey Medical Unit, Plymouth, UK.
Jonathon LoweEmergency Department, British Antarctic Survey Medical Unit, Plymouth, UK Jlowe5@nhs.net.ORCID http://orcid.org/0000-0002-3168-7509
Ed Benjamin Graham BarnardAcademic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK.ORCID http://orcid.org/0000-0002-5187-1952

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The early administration of tranexamic acid is recognised as significantly reducing mortality in traumatically injured patients with major haemorrhage, typically given via intravenous or intramuscular routes. In the context of mass casualty events, there may exist multiple traumatically injured casualties that would benefit from tranexamic acid, however, it's administration may be delayed through the need to establish intravenous access. Additionally, if the initial assessment of the traumatically injured casualty is undertaken by an individual who cannot administer intravenous or intramuscular medications, time to administration will be further delayed. This concepts paper seeks to discuss the potential for utilising oral tranexamic acid, in the context of mass casualty events, as an alternative administration route.

Indexed as

Antifibrinolytic AgentsHemorrhageMass Casualty IncidentsTranexamic AcidWounds and InjuriesAdministration, OralHumansAntifibrinolytic AgentsTranexamic Acid

Identifiers

PMID39884843
PMCPMC12013540

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.