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Post tonsillectomy hemorrhage

Ear, Nose & Throat (ENT) | Last Active: Apr 17, 2022 | Replies (3)

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@johnbishop

Welcome @ringwall, I have no medical training or background but found a few references on your question that might be helpful.

"At what rate is tranexamic acid TXA administered in patients with uncontrolled external hemorrhage following blood administration?
The TXA infusion rate should not exceed 1.5 milligrams per kilogram per minute or a maximum of 100 milligrams per minute. Injections above 50 milligrams per minute can cause dizziness and/or hypotension. Jun 29, 2015" -- Tranexamic Acid (TXA): Drug Whys: https://www.ems1.com/ems-products/ambulance-disposable-supplies/articles/tranexamic-acid-txa-drug-whys-JHdJgbiQRX2zqonO/

Association Between Prehospital Tranexamic Acid Administration and Outcomes of Severe Traumatic Brain Injury: https://jamanetwork.com/journals/jamaneurology/fullarticle/2773529

Did you get a chance to followup with the doctor to see if they could provide any insight to the treatment?

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Replies to "Welcome @ringwall, I have no medical training or background but found a few references on your..."

I was able to follow up, and the treatment was completely ineffective, eventually making things much worse. The doctor maintains that he did the right thing. I posted here hoping to here from some other doctors as to how they would have treated him and if they think TXA is an appropriate sole treatment. I couldn't find any studies supporting this, and a few doctors I've spoken to say that they have never heard of it being used this way.