IT’S TRAUMA TUESDAY is

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For nurses and other clinicians practicing anywhere

along the trauma care spectrum

Take a quick test of your trauma care knowledge

Article of the Week

New TXA Consensus Statement

Recently, a joint position statement on the use of tranexamic acid (TXA) in prehospital trauma care was collaboratively created by the National Association of EMS Physicians (NAEMSP), the American College of Surgeons Committee on Trauma (ACS-COT), and the American College of Emergency Physicians (ACEP). This document updates previous guidance and recognizes the significant rise in prehospital TXA use despite conflicting evidence about its overall effectiveness.

Based on a review of the literature, the three organizations offer several evidence-based recommendations, primarily suggesting that prehospital TXA administration may decrease mortality in adult trauma patients with hemorrhagic shock when given within three hours of injury. The article also discusses the safety profile, optimal dosing, and patient selection criteria, while highlighting the uncertain role of TXA in pediatric trauma patients and emphasizing the need for comprehensive quality improvement programs.

Click the link to view the article or watch a short AI-generated article summary (7 min 10 sec).

Barrett WJ, Kaucher KA, Orpet RE, et al. Tranexamic acid in trauma: A joint position statement and resource document of NAEMSP, ACEP, and ACS-COT. J Trauma. 2025;99(3):357-363.

Media of the Month

Book: Gut, by Giulia Enders

Dr. Giulia Enders’ Gut provides an engaging, in-depth look at one of the body’s most overlooked organs, highlighting its vital role in digestion, immunity, and even mental health. With clarity and humor, Enders examines topics from food intolerances to the gut-brain connection, including emerging research on psychobiotics. 

This updated edition equips readers with practical insights into optimizing digestive health and understanding how the gut influences overall wellness. Get your copy on Amazon through the link below.

Did You Know You Can Ask A Trauma Nurse?

Have a question about something you're learning in the course? Not understanding a key trauma care concept or the body's response to injury? Don't worry, TEP has you covered!

When navigating your COURSE ACTIVITIES, you'll notice ASK A TRAUMA NURSE in the table of contents banner. If you have a question at any point during the course, simply click "Ask a Trauma Nurse," and you'll be directed to a page where you can submit your inquiry. Your questions will be answered by TCAR Education Programs' clinical education specialists within 1-2 days. Responses will be sent directly to your inbox.

You can reveal a letter or the entire word if you get stuck

Is there a role for ECMO in trauma patients?

Extracorporeal membrane oxygenation (ECMO) is a life-sustaining therapy that has found clinical use in severe heart and lung disease cases. Many critically ill COVID-19 patients were successfully treated with this therapy. But is there a role for ECMO in managing trauma patients? 

Although its use remains controversial due to limited availability, high costs, and the risk of anticoagulation complications, ECMO can provide temporary support for select trauma patients, especially those with severe lung injuries, ARDS, or significant trauma-related cardiopulmonary failure (e.g., massive pulmonary embolism). 

This overview from the American College of Surgeons examines the potential of using ECMO therapy for certain trauma indications. Read more at the link.
 

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