Regarding postpartum TXA usage, which statement is supported?

Regarding postpartum TXA usage, which statement is supported?

• A. Base contact is required
• B. Base contact is not required
• C. TXA is contraindicated
• D. The dose is 1 g

Answer: (B)

Early treatment of postpartum hemorrhage with tranexamic acid helps reduce death from bleeding by slowing fibrinolysis. In many EMS protocols, TXA can be given in the field under standing orders without contacting medical control, as long as the patient meets the criteria and the treatment window. That’s why the statement that base contact is not required is the supported one: it reflects the idea that TXA can be administered promptly under protocol rather than waiting for base contact. Saying base contact is required would delay care and isn’t aligned with typical standing-order practice for obstetric emergencies. While TXA is commonly dosed as 1 g (often IV over about 10 minutes, with protocol-specific guidance on dosing and repetition), exact dosing can vary by local protocol, and the key point here is the ability to administer without base contact rather than the need to call first.

Early treatment of postpartum hemorrhage with tranexamic acid helps reduce death from bleeding by slowing fibrinolysis. In many EMS protocols, TXA can be given in the field under standing orders without contacting medical control, as long as the patient meets the criteria and the treatment window. That’s why the statement that base contact is not required is the supported one: it reflects the idea that TXA can be administered promptly under protocol rather than waiting for base contact.

Saying base contact is required would delay care and isn’t aligned with typical standing-order practice for obstetric emergencies. While TXA is commonly dosed as 1 g (often IV over about 10 minutes, with protocol-specific guidance on dosing and repetition), exact dosing can vary by local protocol, and the key point here is the ability to administer without base contact rather than the need to call first.