A 32-year-old male presented to the Emergency Department (ED) with two self-inflicted stab wounds to the abdomen. He had used a knife with a 6-inch blade which had been recovered by the ambulance crew. Prior to arrival in the ED he had been cold, clammy and sweating profusely with a blood pressure initially of 85/40 mmHg. On examination he looked unwell and had two wounds in the right upper quadrant of his abdomen. There is minimal external haemorrhage and a dressing has been applied. He has considerable pain on palpation of his abdomen.
A Computed Tomography (CT) scan of the abdomen is arranged and whilst waiting it was suggested that the should patient receive 1g Intra Venous (IV) tranexamic acid (TXA). (more…)