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Contributor: Aaron Lessen MD

Educational Pearls:

Tranexamic acid (TXA) is a common medication to achieve hemostasis in a variety of conditions
Patients visiting the ED for gross hematuria (between March 2022 and September 2022) were treated with intravesical TXA

1 g tranexamic acid in 100 mL NS via Foley catheter
Clamped Foley for 15 minutes
Subsequent continuous bladder irrigation, as is standard in most EDs

Compared with a cohort of patients visiting the ED for a similar concern between March 2021 and September 2021, the TXA patients had:

A shorter median length of stay in the ED (274 min vs. 411 mi

Podcast 873: Intravesical Tranexamic Acid for Gross Hematuria

Emergency Medical Minute