Tactical Combat Casualty Care – Combat Medic/Corpsman (TCCC‑CMC) Practice Test 2025 - Free TCCC-CMC Practice Questions and Study Guide

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What is the recommended dosage for Tranexamic Acid administration in a trauma patient?

1 gram slow IV over 1 minute

2 grams slow IV or IO push over 1 minute

The recommended dosage for Tranexamic Acid in trauma patients is 2 grams administered as a slow intravenous (IV) or intraosseous (IO) push over the course of 1 minute. This dosing is based on its effectiveness in reducing mortality from traumatic hemorrhagic shock. Tranexamic Acid works by inhibiting the breakdown of fibrin, a key protein in the clotting process, thereby promoting hemostasis in patients experiencing severe bleeding due to trauma.

The administration should be slow to minimize potential side effects, such as hypotension, which can occur with rapid infusion. The 2-gram dose is specifically chosen for its efficacy in the clinical guidelines and reflects current practices in emergency care for trauma patients. In various studies, this dosage has been shown to improve outcomes when given early, thus contributing positively to patient survival rates.

This protocol emphasizes the importance of timely intervention in traumatic injuries, where rapid blood loss can lead to a critical situation. Administering this medication within the recommended time frame and dose is crucial for achieving the desired therapeutic effect.

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500 mg IV push over 30 seconds

1.5 grams IV slowly over 2 minutes

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